Introduction In autumn 2023, Danish psychiatrist Søren Dinesen Østergaard raised a question in Schizophrenia Bulletin  that many considered premature: could generative AI-based chatbots trigger psychotic episodes in predisposed individuals? (Østergaard, 2023). Two years later, that question has ceased to be speculative. Clinicians, psychiatrists, and researchers around the world are confronting a new phenomenon — still lacking a shared nosographic name, yet already present in