This study employs Communication Privacy Management (CPM) Theory to investigate how users manage privacy in artificial intelligence-powered mental health applications. A qualitative analysis of over 500 reviews on the Google Play Store reveals widespread concerns about data security, unauthorized disclosure, and lack of transparency. Findings show that users manage their self-disclosure and trust based on application privacy policies. Regulatory and cultural contexts also shape user expectations, with more stringent demands arising from jurisdictions where data protection law is more robust. The study demands ethical AI design and user-driven privacy policies to reduce boundary turbulence and promote mental health app trust.
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Ahmed et al. (2025) studied this question.
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