Artificial intelligence is increasingly woven into everyday life, from chatbots that offer companionship to algorithms that shape what we see online. But as generative AI (genAI) becomes more conversational, immersive, and emotionally responsive, clinicians are beginning to ask a difficult question: can genAI exacerbate or even trigger psychosis in vulnerable people? Large language models and chatbots are widely accessible, and often framed as supportive, empathic, or even therapeutic . For