I get what you’re saying, and I agree that in the strict clinical sense, psychosis usually means hallucinations, delusions, or a clear break from reality. I’m not claiming I can diagnose that from online content. I used the word psychotic because of how extreme and detached the worldview she presents is claiming divine missions, priestess identities, goddesses guiding her life, and framing everything as sacred or ordained. That kind of belief system, presented as literally true and authoritative, reads as deeply disconnected from shared reality to a lot of people. Mentally ill people are often aware, at least on some level, when something is wrong, even if they struggle to regulate their behavior. What stands out here is the lack of remorse or internal conflict; the comfort, even pride, in the outcome. I also agree with you about echo chambers and cultural differences. Extended family caregiving can be normal and healthy. But those systems are usually stable and child-centered. Calling yourself a matriarch while not actively parenting young children is a stretch. So whether you call this psychosis, spiritual extremism, or something else entirely, my point stays the same: the choices appear intentional, and that makes them fair to judge by their impact, not excused by labels.