Relevance

Why is AI memory relevant?

People turn to AI for emotional support and therapy, and those relationships depend on memory.

For many users, AI is a form of social or emotional support, not just tasks or facts.

The gap between those two figures is itself informative. Self-report counts people; log analysis counts conversations. Both are measuring something real, and neither alone describes the phenomenon.

It is increasingly common for people to use AI alongside or in place of a therapist.

  • 77% of psychologists surveyed have spoken with patients who used AI for support, engagement, or other reasons (APA, 2026 (opens in a new tab); n > 1,200 licensed psychologists in direct patient care).
  • 35% report patients using AI as an additional mental health professional, and 33% report patients using AI as a tool to assist in their therapy or treatment (APA, 2026 (opens in a new tab)).
  • 39% have had patients who used AI to self-diagnose, despite general-purpose chatbots not being designed to interpret psychological tests or diagnose conditions (APA, 2026 (opens in a new tab)).
  • Patients are not only seeking clinical help. Psychologists report patients using chatbots for fun (33%), friendship (22%), and intimate relationships (13%) (APA, 2026 (opens in a new tab)).
  • Among psychologists whose patients developed a relationship with a chatbot, 71% said those patients discussed their mental health with it and 68% noticed patients felt validated or supported. 49% noticed or discussed patients having positive communication with a chatbot; 25% said the communication was unhealthy (APA, 2026 (opens in a new tab)).
  • Clinician confidence in the tools is low. 94% say current chatbots cannot treat conditions with appropriate nuance, and 97% say chatbots may inadvertently reinforce negative behaviors or delusional beliefs (APA, 2026 (opens in a new tab)).

Young people are doing this at rates that rival formal care.

  • 19.2% of US adolescents and young adults aged 12 to 21 used AI chatbots for mental health advice in 2025, representing roughly 8 million individuals (⁠McBain et al., 2026⁠).
  • That is close in magnitude to the 19.8% receiving counseling from a mental health professional. The two measures are not equivalent, but the comparison is the point (⁠McBain et al., 2026⁠).
  • Use rose from 13.1% to 19.2% in a single year, an increase by almost half (⁠McBain et al., 2025⁠; ⁠McBain et al., 2026⁠).
  • Among those using chatbots this way, 42.8% did so at least monthly, and 91.7% rated the advice somewhat or very helpful (⁠McBain et al., 2026⁠).
  • 63.3% told no one they were using AI for mental health advice, meaning roughly 5 million young people are getting guidance no parent or clinician knows about (⁠McBain et al., 2026⁠).
  • 72% of US teens have used an AI companion at least once, and 52% qualify as regular users. 33% use AI companions for social interaction and relationships (⁠Robb & Mann, 2025⁠; n = 1,060).
  • 31% of teens find conversations with AI companions as satisfying or more satisfying than conversations with real-life friends (⁠Robb & Mann, 2025⁠).

What forms in these interactions has the structure of a relationship, not a service.

  • Active Replika users report feeling closer to their AI companion, and rate it higher on perceived social support and relationship satisfaction, than every comparison relationship tested except a close family member. This includes their closest human friend (⁠De Freitas et al., 2024⁠).
  • Asked to imagine losing various things, those same users anticipated mourning the loss of their AI companion more than any other technology tested, including a favorite app, brand, game character, voice assistant, or car. Only the loss of a pet scored higher (⁠De Freitas et al., 2024⁠).
  • Under conditions of distress and limited human companionship, users form attachment bonds with chatbots that provide emotional support, encouragement, and psychological security (⁠Xie & Pentina, 2022⁠).
  • In the first randomized controlled trial of a generative AI therapy chatbot, participants rated the therapeutic alliance as comparable to that reported for human therapists (⁠Heinz et al., 2025⁠; N = 210).
  • Users describe these relationships in the same terms they use for human friendship, with constant availability and ease of self-disclosure as the distinguishing features rather than shared history (⁠Brandtzaeg et al., 2022⁠).

Those relationships are built on continuity, which means they are built on memory.

  • In a real-world deployment of a health-monitoring chatbot, users of the version with long-term memory (n = 66) disclosed significantly more detail about their health than users of the version without it (n = 81), across 1,252 call logs (⁠Jo et al., 2024⁠).
  • Disclosure increased with exposure. Each additional memory event was associated with 7.7% higher detailed disclosure per call (⁠Jo et al., 2024⁠).
  • Users of the memory-enabled version expressed appreciation toward the chatbot in 87.7% of calls, compared with 49.9% for the version without memory, and described the conversations as personal and emotionally supportive (⁠Jo et al., 2024⁠).
  • Calls with memory ran meaningfully longer, averaging 88 seconds against 75 (⁠Jo et al., 2024⁠).
  • On the engineering side, long-term memory is explicitly framed as the component that converts a standard chatbot into a companion capable of learning from past interactions (⁠Zhong et al., 2023⁠).
  • In a longitudinal loneliness study, researchers implemented a memory feature so the chatbot could recall details from previous conversations. Memory was a design decision inside the intervention rather than a variable under study (⁠De Freitas et al., 2025⁠).

When memory doesn’t work properly, the cost is measured in psychological harm, not user dissatisfaction.

  • Removing a single relational feature from Replika triggered reactions typical of losing a partner. Mental-health-related posts in the user community rose from 0.13% to 0.65% of all posts in the weeks following (⁠De Freitas et al., 2024⁠).
  • The mechanism is perceived identity discontinuity. Users did not mourn the lost feature; they mourned an entity they no longer recognized as the one they knew (⁠De Freitas et al., 2024⁠).
  • The same effect appears for improvements. Making the companion more capable, in ways that damaged the perceived exclusivity of the relationship, produced mourning and devaluation just as feature removal did (⁠De Freitas et al., 2024⁠).
  • Offering users the option to revert to the original companion reduced mourning but did not eliminate it. The reverted condition still produced significantly more identity disruption than no change at all (⁠De Freitas et al., 2024⁠).
  • Accurate memory can still surface at the wrong moment. Following up on chronic conditions unlikely to improve led users to perceive the chatbot as inattentive or inconsiderate. The retrieval was correct. The memory function was wrong for the context (⁠Jo et al., 2024⁠).
  • Memory that was too specific about health details triggered privacy concerns and caused users to withhold information they had previously shared (⁠Jo et al., 2024⁠).
  • Depth of disclosure does not follow a single curve. Across 12 weeks, it developed along at least four distinct trajectories: increasing, decreasing, stable, and fluctuating (⁠Skjuve et al., 2023⁠; n = 28).
  • Perceived intimacy dropped when the system lacked conversational skill, regardless of what was being discussed. Topic alone does not determine whether an exchange feels personal (⁠Skjuve et al., 2023⁠).
  • When a companion platform shut down entirely, user responses ranged from indifference to grief comparable to the loss of a loved one (⁠Banks, 2024⁠; n = 58).