Online self-diagnosis of psychiatric disorders by the general public is
increasing. The reasons for the increase include the expansion of Internet
technologies and the use of social media, the rapid growth of direct-to-consumer
e-commerce in healthcare, and the increased emphasis on patient involvement in
decision making. The publicity given to artificial intelligence (AI) has also
contributed to the increased use of online screening tools by the general
public. This paper aims to review factors contributing to the expansion of
online self-diagnosis by the general public, and discuss both the risks and
benefits of online self-diagnosis of psychiatric disorders. A narrative review
was performed with examples obtained from the scientific literature and
commercial articles written for the general public. Online self-diagnosis of
psychiatric disorders is growing rapidly. Some people with a positive result on
a screening tool will seek professional help. However, there are many potential
risks for patients who self-diagnose, including an incorrect or dangerous
diagnosis, increased patient anxiety about the diagnosis, obtaining unfiltered
advice on social media, using the self-diagnosis to self-treat, including online
purchase of medications without a prescription, and technical issues including
the loss of privacy. Physicians need to be aware of the increase in
self-diagnosis by the general public and the potential risks, both medical and
technical. Psychiatrists must recognize that the general public is often unaware
of the challenging medical and technical issues involved in the diagnosis of a
mental disorder, and be ready to treat patients who have already obtained an
online self-diagnosis.