X-pressing Intimacy: Mental Health Disclosure After Twitter Acquisition
Abstract
Social media platforms provide spaces for individuals to disclose mental health experiences and seek support, yet how these disclosures evolve during major shifts in platform governance remains unclear. We examine mental health self-disclosure surrounding Elon Musk's October 2022 acquisition of Twitter, analyzing approximately 824K tweets across anxiety, depression, bipolar disorder (BD), borderline personality disorder (BPD), and suicidal ideation (SI) or related experiences, alongside 266K comparison tweets. Using Linguistic Inquiry and Word Count (LIWC) and an LLM-based intimacy classifier, we characterize changes in psycholinguistic expression and disclosure intimacy. Following the acquisition, we observe declines in affective and social language, alongside increases in first-person singular pronouns and future-focused expressions. Intimacy patterns vary by condition: anxiety, depression, and BPD show increases in low-intimacy and decreases in moderate-intimacy disclosures, whereas suicide-related posts show more high-intimacy disclosures. However, compared with broader Twitter discourse, only the relative decline in moderate- versus low-intimacy disclosure for BPD remains statistically significant. Our findings underscore the importance of considering both language and intimacy when studying platform transitions, informing the design of online environments that support sensitive self-disclosure.
