Collective Voice: Recovered-Peer Support Mediated by An LLM-Based Chatbot for Eating Disorder Recovery

Abstract

Peer recovery narratives provide unique benefits beyond professional or lay mentoring by fostering hope and sustained recovery in eating disorder (ED) contexts. Yet, such support is limited by the scarcity of peer-involved programs and potential drawbacks on recovered peers, including relapse risk. To address this, we designed RecoveryTeller, a chatbot adopting a recovered-peer persona that portrays itself as someone recovered from an ED. We examined whether such a persona can reproduce the support affordances of peer recovery narratives. We compared RecoveryTeller with a lay-mentor persona chatbot offering similar guidance but without a recovery background. We conducted a 20-day cross-over deployment study with 26 ED participants, each using both chatbots for 10 days. RecoveryTeller elicited stronger emotional resonance than a lay-mentor chatbot, yet tensions between emotional and epistemic trust led participants to view the two personas as complementary rather than substitutes. We provide design implications for mental health chatbot persona design.