AI-Generated Exposure Hierarchies for Body Dysmorphic Disorder: Proof-of-Concept Study.

Body dysmorphic disorder (BDD) is a chronic, impairing condition for which cognitive behavioral therapy, including exposure and response prevention (ERP), is the first-line treatment, but few clinicians are trained in BDD-specific ERP. Constructing personalized exposure hierarchies is time-intensive and requires clinical expertise, particularly for patients with absent insight who may hold appearance beliefs with delusional conviction. Generative AI (GenAI)-powered chatbots, such as ChatGPT, have shown utility for clinical content, but their capacity to produce safe, appropriate ERP hierarchie