> What about when they watch adult video in VR, or have waifus? Humans engage in voluntary suspension of disbelief for pleasure and recreation all the time.

Categorically different. People have killed themselves or others due to conversations they had with LLMs, but those are just the extreme cases. Most schizophrenics don't commit suicide or kill others, they are mentally ill nonetheless.

It is amusing to see those trapped in extreme HAAD, the source and whole content of religious illusion, pretend that it is their opponents who are in a state of religious fantasia.