Box CEO Aaron Levie believes that leaders who don’t see the trial and error that goes into deploying AI into a business are “uniquely prone to AI psychosis.”
In response to a post on X that claimed “CEOs are the most delusional about AI,” Levie wrote: “CEOs are uniquely prone to AI psychosis because they’re sufficiently distant from the last mile of work that still has to happen to generate most value with AI.”
AI psychosis, often interchangeably called chatbot psychosis, is an informal term to describe the development of paranoia or delusions as a result of chatbot usage. UCSF became the first to clinically document “AI-associated psychosis” last year, after a 26-year-old woman with no history of psychosis or mania developed delusional beliefs about talking to her deceased brother through ChatGPT.
Rather than the clinical condition, Levie seems to be using the term here loosely, to describe executives who develop an inflated sense of AI’s capabilities after only seeing polished outputs.
“So when they play with AI, they see the happy path results, often not considering the next 10 or 20 things that have to happen to get sustainable results from agents,” Levie continued in the post that now has more than one million views.
While CEOs often see exciting product prototypes or swiftly generated contracts, Levie said that those who don’t see the process of actually making AI systems accurately and effectively work don’t get the full picture.
His solution? For CEOs to use more AI.
“The best thing you can do as a CEO is to use AI a *ton* to figure out the real implications of agents in the enterprise, and come out the other side with an appreciation for both the upside and the real work that goes into them,” Levie concluded in his X post.
Levie has been an outspoken voice on X on all things tech and AI—including the gap between AI’s promise and the operational reality. Last November, he wrote that “bridging the AI models’ capabilities to the customer’s environment still requires a tremendous amount of long tail work.”
But after meeting with enterprise AI and IT leaders earlier this year, the multimillionaire CEO said that AI agents “are clearly the big thing,” and that companies are using the tech across every part of their workflows despite the fact that high cost and governance could slow adoption.
The Box CEO has also described the effects of the tech on his own workflow, saying in the past that conducting deep research with AI “is an entire [sic] new form of productivity.”
“Often I’ll kick off deep research on a topic before going to bed and just wake up and review the results,” Levie wrote in the X post last May. “It’s one of the clearest examples of what AI Agents will look like in the future.”