As preceeded by tulpomancy: https://en.m.wikipedia.org/wiki/Tulpa

Delusional disorder is a thing but that requires belief flying in the face of evidence. Can't ascertain that without a good faith 1:1 convo.

beyond that, clinical significance is a matter of what harm comes from it. People are allowed to choose idiotic things. we gotta assess harm based on outcomes and we don't know anything about her, so.

Id say this, if i were her doc and she came in reporting that stuff, it'd be hard to stay unbiased