->'''Dr. Fuller:''' Why don't you tell me how you're feeling?\\
'''Sam:''' I'm fine. I mean, okay, a little depressed, I guess.\\
'''Dr. Fuller:''' All right--any idea why?\\
'''Sam:''' [[ItMakesSenseInContext Probably because I started the]] [[TheEndOfTheWorldAsWeKnowIt Apocalypse]].\\
''[Doctor smiles weakly, then picks up his phone]''
-->--''Series/{{Supernatural}}'', [[Recap/SupernaturalS05E11SamInterrupted "Sam, Interrupted" (S05, E11)]]

Sometimes, characters need therapy to cope with what's happened to them, but the events they would need to talk about are part of some [[TheMasquerade Big Secret]] that would sound delusional to outsiders. Unfortunately, there are no therapists that ''aren't'' outsiders.

To make matters worse, the character can't or won't creatively edit his story. Maybe to add insult to injury, the author finishes an adventure by winding back time so only this character remembers what happened, or has him followed by a shadowy government agency charged with enforcing TheMasquerade.

Not a single therapist in the world is "in the know". Especially weird if you consider that if, say, vampires are real, in such a world vampire-related traumas should be at least slightly more common.

You ''could'' try to get the help you need anyway, but your {{Muggle}} therapist will probably get quite the wrong idea. [[MedicateTheMedium Cue men in white coats wrestling you into a straitjacket]].

You might even end up turning your therapist mad [[GoMadFromTheRevelation by revealing the secret]] or [[LaserGuidedAmnesia by covering it up again]] when you're done.

Options remaining: Go AxCrazy, [[BeingTorturedMakesYouEvil join]] TheDarkSide, die [[DrivenToSuicide at your own hand]] or [[SuicideMission another's]], [[LaserGuidedAmnesia take]] [[RedPillBluePill the blue]] [[TheMatrix pill]], or be KilledToUpholdTheMasquerade.

Sister trope of ThereAreNoTherapists. Compare with CassandraTruth and YouHaveToBelieveMe. May be caused by TheMasquerade, TheWorldIsNotReady, or the WeirdnessCensor.

%% Examples which simply mention the existence of individual therapists who are or are not muggles will be {{zapped}}. This trope is about how when there is a Masquerade, the fact that ALL therapists are muggles presents a significant barrier to psychiatric treatment. In short, its the circumstances that are the trope, not the existence of a therapist.
----
!!Examples:

[[foldercontrol]]

[[folder:Anime and Manga]]
%% * Fakir and Rue from ''Anime/PrincessTutu'' could definitely use some therapy considering their [[ParentalAbandonment issues]], but they'd have to find a therapist who would be able to swallow the idea that part of their problems stem from being characters in a fairytale.
* In ''Anime/BlackRockShooter'', one of the [[DysfunctionJunction major catalysts]] for the problems is the fact that the therapist is ''not'' a muggle.
* ''Manga/MagicKnightRayearth'''s second half opens with the girls' families being deeply concerned over the sudden depression each has developed ever since an ordinary field trip to TokyoTower. There's no way Hikaru, Umi, or Fuu can actually ''say'' that they were taken to another world [[spoiler:and killed two people]].
[[/folder]]

[[folder:Fanworks]]
* [[LampshadeHanging Lampshaded]] regularly in the ''Literature/HarryPotter'' fandom to explain why the many characters with serious issues and traumatic backgrounds can’t get therapy.
** ''OhGodNotAgain'' mentions that Cho Chang only got better after years of therapy, and she needed to edit her story, because all therapists are Muggles.
** [[DiscussedTrope Discussed]] in the ''Harry Potter'' fanfic [[http://www.fanfiction.net/s/4842696/1/Reparations "Reparations"]]. Draco Malfoy is a therapist in the drug rehab wing of St Mungo's and argues that wizards have to have their own rehab because if wizards only had muggle therapists and groups, they would have to edit magic out of their accounts and that would sabotage the process and doom the patient to failure.
* [[LampshadeHanging Lampshaded]] in the author's notes of [[http://www.fanfiction.net/s/4004316/10/Windows_of_the_Soul "Windows of the Soul"]], a ''Anime/{{Mai-HiME}}'' fanfic that deals with Shizuru's lingering guilt over her actions late in the series and the implications they have for her relationship with Natsuki.
-->"Sometimes I wonder whether it would be easier if I just had Shizuru see a psychologist. The problem being, how does she say "I have a huge guilt complex over killing scores of people with my summoned demon named after the legendary Kiyohime" without being put in an asylum? Perhaps the First District has specialised psychologists. Oh, wait. She blew them up. That's what she's guilty about."
* There is a crossover of ''{{Series/Supernatural}}'' and ''{{Series/Bones}}'' called "The Dead Man in the Lab" by Sameuspegasus where the main characters of the latter are clued in to the workings of the former. Cas, being even more protective of Dean than usual, insists that Sweet 'fix' Dean. [[MoodWhiplash Mood Whiplash]] sets in as Cas goes from ineffectually saying "You will fix him now!" to stating "You will fix him NOW." All while Sweets and everybody else is desperately trying to acclimate themselves to the idea of angels and the apocalypse. Sweets keeps desperately hoping his phone will go off in the middle of his improvised "therapy" sessions and let him off the hook. The story hits the trope straight on, as well, with the line: "Sweets was going to need serious psychotherapy after this. Only there was no-one who could give it to him."
* Had to be taken into account when someone was attacked by a magical monster in "Roll the Bones" by Vathara: "'Set up appointment for Wolf with the department shrink,' he noted down. Thought a second. 'Check morgue audio-tape log. Make sure shrink knows he was not hallucinating.'"
* The reason [[spoiler: R!]]Syaoran refuses therapy offered by the hospital for his PTSD caused by his torture in ''FanFic/{{Shatterheart}}'' is that he doesn't want to be seen as crazy and have to explain dimension-travel.
* Averted by the excellent HarryPotter fanfic [[https://www.fanfiction.net/s/3954448/51/Questions-and-Answers Questions and Answers]], where Draco Malfoy does go to a therapist- who happens to be a wizard.
[[/folder]]

[[folder:Comic Books]]
* Averted in MarvelComics for gamma-irradiated psychologist [[ComicBook/IncredibleHulk Doc Samson]], who apparently all the supers in the world consult with their problems[[note]](there are others in the know with such training, but [[MindRape their usual]] [[BrainwashedAndCrazy standards of treatment]] are worse than most conceivable psychological problems)[[/note]]. Except not lately, because Doc Samson has been evil, dead or both. Another example is Dr. Kafka, psychiatrist at Ravencroft, the prison for insane super-villains in SpiderMan.
** Other MarvelComics therapists however play with this trope since they were apparently [[PsychoPsychologist mad to begin with]] or themselves [[GoMadFromTheRevelation went crazy from learning their clients secrets]]. Moonstone from ''ThunderBolts'' is more likely to deliberately make your problems worse for her own fun and profit than to try to help you. Then, in SpiderMan, the third character to adopt the Green Goblin identity was Bart Hamilton, originally the therapist for NormanOsborn's son Harry and took over Harry's villainy.
* {{Subverted}} in ''ComicBook/{{Zatanna}}'' when she attends a group therapy session for people who have experienced supernatural occurrences.
* LoveAndCapes averts this trope with Doc Karma, an {{Expy}} of DoctorStrange serves as their psychatrist and doctor.
[[/folder]]

[[folder:Film]]
* The psychiatrist consulted in ''Film/TheMask'' doesn't believe that the mask could have any supernatural properties.
* In the FilmOfTheBook ''Film/TheChroniclesOfNarnia: Film/PrinceCaspian'', Peter and his siblings lived into adulthood in Narnia, a magical land inside a wardrobe, and now are stuck in a world that treats them as children so despite having problems like getting into fights and struggling to relate to other people, trying to explain those issues to a Muggle therapist would probably get them sectioned.
** Subverted in ''Film/TheLionTheWitchAndTheWardrobe'' by 'the Professor', who is ''quite'' willing to accept that something impossible happened to them. (The book version eventually explains why.)
--> '''The Professor:''' Well, if she's not mad, and she's not lying, then... [[TakeThat logically...]] she must be telling the truth.
* Subverted in ''Film/BladeTrinity'', where a famous psychologist goes on record on TV that Blade is crazy... but it's revealed that he's a Familiar to the ruling vampires (basically their stooge).
* ''Franchise/ANightmareOnElmStreet'':
** ''Film/ANightmareOnElmStreet3DreamWarriors'':
*** Subverted with Dr. Neil Gordon. He's one of the therapists trying to help the Freddy-plagued kids and while sceptical at first, he's actually willing to admit the possibility that they and Nancy are faced with a supernatural threat.
*** Played straight with Dr. Elizabeth Simms. She, unfortunately, assumes they're delusional and has one of them sedated: the ''worst'' possible outcome of this trope, under the circumstances.
** Inverted in ''Film/FreddyVsJason'': [[spoiler:The mental hospital staff in Springwood know damn well that Freddy is for real, and use Hypnocil and fraudulent institutionalization of witnesses to ensure that Freddy's potential victims remain Muggles. That way, the dream-stalking killer can't gain strength from their fear.]]
* Dr. Silberman, the police psychiatrist in ''Film/{{Terminator}}'' and the hospital administrator in ''Terminator 2'', isn't for one moment going to take stories of time-traveling killer androids seriously. But as he's continually exposed to the truth, by the third film, he's starting to crack - briefly trying to counsel one witness to the two robots' fight about how sometimes "we" think we see things that are impossible, but it's just stress altering the memory. He's visibly struggling with the situation and his own repression of what he saw in the first two movies when Arnold shows up again and he all but messes his pants in terror. Finally, by TheSarahConnorChronicles, he [[spoiler: is living off the grid, clearly believes in Terminators and seemingly goes crazy, eventually ends up locked in his own mental institution]].
* In a deleted scene of ''Film/TheIncredibleHulk'', Bruce tries to explain his condition to therapist Leonard Samson, but all he can safely say is that "there are aspects of my personality that I can't control." Samson mistakes it for just anger management problems, but does perceive that Bruce is holding part of the info back and is annoyed that he does so.
* Inverted in ''Film/TheRageCarrie2''. School psychologist Sue Snell, having survived [[{{Carrie}} the first film]], is the first person to realize that Rachel has PsychicPowers, and makes a special effort to try and talk her through her issues. Everybody else only finds out about Rachel's powers [[RoaringRampageOfRevenge much too late]].
* When Phil Conners of ''Film/GroundhogDay'' attempts to seek help, people think that his claims that he's trapped in a GroundhogDayLoop are just insanity and he winds up in the office of the town's only psychologist. The doctor, of course, is no help since Phil isn't delusional and really is trapped in a loop, and doesn't appreciate the suggestion he make an appointment for next week.
* A mundane variant occurs in the film ''Confessions of a Hitman'': the title character attempts to confess his many crimes to a priest, but the priest, thinking he is delusional, refuses him absolution and recommends therapy instead.
* Played with in ''Film/DonnieDarko''. Dr. Thurman initially characterizes Donnie's visions as "daylight hallucinations" but eventually comes to believe that they're genuine.
[[/folder]]

[[folder:Literature]]
* In [[Literature/VorkosiganSaga Shards of Honor]] by Creator/LoisMcMasterBujold Cordelia literally couldn't tell the Escobaran or Betan therapists the truth about what happened to her while in Barrayaran captivity, since that could set off a civil war on Barrayar.
** They end up thinking she's been suborned, causing her to run away to escape the "therapy" they're offering, which only makes it look worse.
* In TheStepfordWives Joanna, at the request of her husband Walter, sees a therapist from out of town and shares with her about the suspicions she's having about the women of Stepford and how all her friends suddenly became domesticated fembots eerily similar to the ones at Disneyland and her fears about what would happen to her. The therapist merely thinks that Joanna is unconsciously unhappy in her role as a homemaker, the Holiday season is too stressful, she isn't used to suburban life as opposed to city life, and that Stepford just happens to attract that sort of person.
* In ''Literature/{{Twilight}}'', when Bella's erratic behavior after Edward leaves her borders on [[UnfortunateImplications clinical depression]], Charlie ''tried'' to get Bella to see a therapist. She refused, claiming that she couldn't tell a therapist about how the Cullens were vampires and she’d decided that therapy wouldn't work if she wasn't 100% truthful.
* ''Literature/{{Animorphs}}'': The need for secrecy prevents any of the characters in this from seeking help (as they can never be sure who is or isn't an enemy operative that is searching for them), but the psychological ramifications of being in the sort of fight they're in are explored. The Animorphs have very interesting nightmares, and will do so for the rest of their lives. Cassie tries to act as a sort-of therapeutic substitute, but her success is limited.
** In one book, Marco [[LampshadeHanging lampshades]] the impossibilities of telling a professional therapist about their problems: "Hello, Doctor Freud? My dad's thinking about remarrying. See, he thinks my mom is dead, but she's not. She's actually a slave to an alien race trying to take over the planet. And did I mention that I'm fighting this alien invasion myself? That I do it by turning into animals? Say what? [[GoAmongMadPeople What size straitjacket do I wear]]?"
* Subverted in Literature/YoungWizards. Nita assumes this about the school counseller, and it's true that he isn't a wizard, [[spoiler: but he's in on the secret and even gets the main cast out of school during ''Wizards at War'' so that they're free to prevent [[ApocalypseHow the end of the universe]].]]
* Subverted in the fantastic-realism novel ''Literature/PrinceOmbra''. Bentley's psychiatrist, Dr. Kreistein, happens to be extremely well-versed in mythology, and realizes that Bentley is the current reincarnation of several heroes of legend, including King Arthur and Susano. Dr. Kreistein becomes Bentley's lifelong friend and advisor, aiding him in his destiny to save the world from Prince Ombra, the very source of evil and insanity.
* Played with in the [[Literature/MonsterHunterInternational Monster Hunters]] universe. There are therapists who know about monsters. Two of them. But the people who follow up on monster attacks don't say, "These are the therapists to go to." [[TheMenInBlack They say]], "Never tell anyone. They'll think you're crazy. And then we'll kill you, just to make [[TheMasquerade sure]]." As many real-life psychologists have found, this makes the resulting PTSD '''much worse'''.
* Averted in Creator/MercedesLackey's ''Music To My Sorrow'' where we are told that Eric has found a therapist that knows that magic and elves are real.
* The protagonist's therapist in the StephenKing short story ''The Boogeyman'' [[spoiler:is a horrific subversion; he's actually the titular boogeyman who killed the protagonist's children, and it's implied will now kill him as well]].
* Averted in Creator/JimCHines' ''Magic Ex Libris'' series: Nidhi Shah, while she's a Muggle in the sense that she doesn't have magic, is in on TheMasquerade and is specifically employed as a psychiatrist to the Porters. There certainly isn't any shortage of work for her to do.
* In the strategy guide to X-Wing, it tells the story of the protagonist, Keyan Farlander, as a young pilot for the Rebel Alliance who is Force-Sensitive, but has no teacher, and is learning on instinct alone. He keeps having disturbing visions as the Dark Side is tempting him. He tries to go to the sickbay to ask for help and to figure out what is happening to him, but the medical droid tries to have him grounded on psychiatric grounds when he tries to explain what's happening to him. He has to use a Jedi Mind Trick on the Flight Surgeon to stay on flight status.
[[/folder]]

[[folder:Live Action TV]]
* In ''Series/DoctorWho'', Amy is twice sent to therapy when others find out what she’s experienced and can’t believe it’s real: in “The Eleventh Hour” because of her tales of The Raggedy Doctor, and in “The Big Bang” where all the stars have gone out and young Amy is one of few people in the world who remember them.
* In ''Series/{{Torchwood}}'', Suzie [[ExploitedTrope exploits this trope]] as part of a plan for her own resurrection. Under cover of talking through her work-related issues, she attends a support group regularly armed with [[LaserGuidedAmnesia the drug]] Torchwood uses to maintain TheMasquerade. To her colleagues, this initially appears to be a reasonable solution to the lack of therapists who know about Torchwood and aliens but they soon piece together that [[spoiler:she was actually using the drug and the support group sessions to secretly turn her confidant into an AxCrazy serial killer and living backdoor to the Torchwood security system.]]
* In ''Series/BeingHuman'', Annie was [[spoiler:abused by her fiance, forced to watch him be romantic with his new girlfriend (who was also Annie's old friend), and then found out that he murdered her]]. Unfortunately, Annie is dead and thus would have a bit of trouble making an appointment.
* Pretty much all the hunters in ''Series/{{Supernatural}}'' have deep-seated psychological issues which go unaddressed apart from the occasional monster induced psychologically-convenient dreamscape. The reason they can't seek aid is nicely demonstrated by the episode "Sam, Interrupted" where they do go to a therapist and try to [[http://www.youtube.com/watch?v=E3deHzi6y9Y explain their problems]]. Shortly after they start into ''why'' they have these issues they get committed. (Fortunately, it was all part of the plan.)
* Subverted on an episode of ''Series/OutOfThisWorld''. Evie goes to therapy and brings her mom and dad, or at least, the glowing crystal through which her alien dad communicates. The therapist is very much a muggle but believes them and they appeal to doctor/patient confidentiality to keep their secret safe.
* In ''Series/BuffyTheVampireSlayer'' Buffy sees a counselor in the episode "Beauty and the Beasts" who has no idea about vampires and the like, though he turns out to be a pretty good counselor anyway, and figures out what her problem essentially is minus the supernatural elements. [[spoiler:Then he gets killed by a Hulk expy.]]
** Inverted a bit, however, in season 7, where Buffy herself becomes a counselor at the rebuilt Sunnydale High School. Buffy will sometimes tell when students are having supernatural problems even when the students are muggles.
** Also, played with in the episode "Conversations With Dead People," when a newly arisen vampire turns out to have a psychology degree, and he and Buffy have a very long chat. Although, aside from knowing that vampires exist (and only because he ''is'' one), he gives no indication of knowing anything else supernatural exists.
* In ''Series/RedDwarf'' [[spoiler: after the original crew is brought back to life]] Kryten is sent to a counsellor. The counsellor, having been brought back from the dead and being unaware of the passage of millions of years, assumes Kryten is crazy for believing himself to be constructed in (what is from this counsellor's perspective) the future. Though maintaining a cheerful disposition as he hears about his good fortune at not being dead anymore, he repeatedly requests Kryten confirm that his chair is still securely screwed down.

* In ''Series/{{Sliders}}'', all the sliders need therapy, given that they (usually permanently) leave one universe for another every couple of days and the experience isn't always pleasant. Hell, the original sliders' home Earth is now in the hands of a bloodthirsty humanoid race with a taste for human eyeballs. Only one episode involves a visit to a shrink, and that one involves Rembrandt needing to vent his doubts about whether Professor Arturo is "their" Arturo. The shrink thinks that Rembrandt is completely nuts and calls a mental hospital to commit him. After witnessing a slide, he himself suffers a breakdown and is taken away.
* In ''Series/TheSarahConnorChronicles'', John Connor and Cameron both see a therapist as part of a plot to [[spoiler:kidnap a terminator's daughter]]. The psychiatrist quickly diagnoses the teenaged John with something like shell shock because he checks the exits like a combat veteran and he wonders if Cameron is autistic. John has real problems but he can't be honest with the therapist about them. Naturally, the therapist correctly identifies him as a liar.
* Subverted in ''Series/TeenWolf'': when Stiles sees the school counselor, he glosses over the werewolf part of his problems - completely unaware that she knows ''exactly'' what's going on.
* Actually nicely subverted in ''Series/{{Chuck}}''; when Chuck is sent to a therapist by the CIA, he spends quite a bit of time trying to talk about his problems without mentioning classified information until the therapist mentions that yes, he was fully briefed because he was a CIA therapist whose entire job is treating people whose problems are highly classified.
* In ''{{Garo}}'', Kaoru regularly sees a therapist, though she glosses over the whole "being hunted by demons" aspect of her life and focuses on her job-related troubles. [[spoiler: Subverted, when we find out that her therapist is actually the BigBad, and that he has been using his position in order to monitor her so that he may eventually use her as a host-body for the queen of the Horrors.]]
* Played with in ''Series/{{Awake}}'': while neither therapist actually ''believes'' Britten is traveling to another world in his dreams, Lee thinks that indulging in his "dreams" are bad for his mental health, while Evans thinks they may be useful as a coping and problem-solving tool.
* Played with in ''Series/OnceUponATime''. The town's only therapist, Dr. [[MeaningfulName Hopper]], ''isn't'' a muggle. He's Jiminy Cricket. However, like everyone else in Storybrooke he has amnesia and doesn't know this, so he tries to help Henry but doesn't believe what he says about the curse. At least, not at first.
** After the curse is broken, he continues to act as a therapist, most notably to Regina. It doesn't work very well, but not because he's ignorant about the nature of the universe.
* Ned of ''Series/PushingDaisies'' could probably use some professional help, what with his abandonment issues, anxiety problems, and fears of both physical contact and emotional intimacy... but since all of these difficulties are tied up closely with his ability to bring things [[BackFromTheDead back from the dead]], a secret he is too terrified to ever voluntarily reveal, he doesn't get it. Of course, since one of the major arcs of the show is him gradually loosening up and making human connections, he's better off than he could be.
* Subverted in ''Series/StargateAtlantis''. The expedition has a staff psychologist. Generally, she deals with fairly normal issues that don't differ too much because of their science fiction cause, but then there was the time that Dr. [=McKay=] had another persons mind trapped in his head, and they shared control of the body. She acknowledged that this wasn't exactly something she was trained in, but that it was clear that both of them would need some psychiatric attention, so they did the best they could.
* Subverted in ''Series/{{Haven}}'', where Dr. Claire Callahan reveals she specializes in treating Troubled people.
* This trope is actually the reason why ''Series/{{Constantine}}'' starts with John Constantine as a self-admitted patient in a mental hospital. He knew that the doctors there wouldn't believe in demons and black magic, and after years of shouldering the guilt of watching a little girl get dragged down to Hell by a demon he himself summoned, he hoped that they could make him believe it was all a delusion, too.
* In ''Series/{{Roswell}}'', Max is sent to a therapist by the beginning of season 2. Since he had just endured torture a couple of months ago due to his alien status, it's quite likely his behavior had been erratic enough during summer time for his parents to notice something was wrong. Needless to say, he can't tell the doctor anything beyond, "it's just teenage stuff".
[[/folder]]

[[folder:Tabletop Games]]
* Both ''TabletopGame/OldWorldOfDarkness'' and ''TabletopGame/NewWorldOfDarkness'' use this a lot:
** Vampires in either setting can't see a shrink without breaking The {{Masquerade}} unless they are ''extraordinarily'' careful, nor can they take antidepressants because drugs don't affect the undead, so insane vampires (and eventually, they're all at least slightly insane) are screwed.
*** This was part of a HandWave in the original ''TabletopGame/VampireTheMasquerade'' to keep people from tampering with the Malkavians, who more or less run on crazy, mystically speaking.
*** In ''TabletopGame/VampireTheRequiem'' (and maybe other [=nWoD=] products) it's also a way of enforcing Derangements for those with low {{Karma Meter}}s.
** In ''TabletopGame/WerewolfTheApocalypse'', psychological trauma and Garou-specific depression ([[DespairEventHorizon Harano]]) are natural result of fighting the Wyrm. Because of the [[{{Masquerade}} Veil]], however, seeing a therapist would be out of the question unless s/he was Garou or kinfolk. That said, the setting ''does'' have a number of counselors amongst the tribes dedicated to helping people break through Harano, and even has Garou-oriented psychiatric facilities like the Valkenburg Foundation (dedicated to treating Lunatics, Garou who experienced a psychic break during the First Change and have little control over their transformations).
** In ''TabletopGame/MageTheAscension'' Tradition mages could work out psychological issues through their [[SoulFragment Avatar]], usually during a [[DreamLand Seeking]]. The science-oriented Technocracy greatly values therapy, psychology and psychiatry, but it's also exploited by the [[ExtraStrengthMasquerade New]] [[OneWorldOrder World]] [[SecretPolice Order]] faction to [[{{Brainwashing}} indoctrinate]] the other factions to keep them in line. Part of the reason the Void Engineers have such autonomy compared to other Conventions is their own psychiatric branch, ostensibly specialized in dealing with the abomination of outer space, that also removes NWO programming from its own agents.
** One of the parts of the tightrope act of ''TabletopGame/ChangelingTheDreaming'' is that the Kithain often undergo Chrysalis at a young age, split their time between their mortals lives and changeling lives, and spend a lot of their time interacting with chimerical creatures that no one else can see - which often leaves parents suspicious and psychiatrists suspecting delusion. More than one changeling has been "treated" back into dormancy. On the ''other'' hand, outright embracing your fae nature and leaving all of mortal life behind means you're going to go into Bedlam (that is, ''actually'' go crazy).
** ''TabletopGame/HunterTheVigil'': most Hunters avoid therapists because of, y'know, the inherent risks of telling someone that you're stressed because you spent all of last night hunting a werewolf with a shotgun and a two-by-four.
** Invoked, played straight and defied in ''TabletopGame/ChangelingTheLost''. Having a psychotherapist who isn't a changeling (or at least [[BrokenMasquerade Ensorcelled]]) does give a penalty to therapy rolls, but there's an entire PrestigeClass based around the idea of changelings becoming therapists to help out their own kind.
* This is why most ''TabletopGame/CallOfCthulhu'' characters who don't end up dead get committed.
* Averted in ''TabletopGame/EclipsePhase'' for Firewall agents, who have access to therapists in on the masquerade. Though people who aren't in Firewall and suffer Stress from witnessing Exsurgent activity, particularly [[WithGreatPowerComesGreatInsanity asyncs]] aren't so lucky, but at least the standard Muse most people have in their [[BrainComputerInterface Mesh Inserts]] has a 60 (on a d100) in Psychology.
[[/folder]]

[[folder:Video Games]]
* The cast of ''VideoGame/{{Persona 3}}'' is a group of teens who frequently go into a twisted, bloody version of their school where they are in danger of being killed by ''their repressed feelings'' and fight monsters by shooting themselves in the head with guns that fire ''psychological trauma''. Ken is so bad he was going to commit suicide after getting his revenge against a certain individual, and he's ''eleven''. But since no therapist would believe them about the Dark Hour, they’re on their own.
** Persona 4, which features an alternate TV dimension that only select people can enter and is filled with horrific monsters is closely related, and the main cast do have issues, ranging from the mild (bored and lonely) to the severe [[spoiler:(transsexual - maybe)]] and these problems literally manifest and attack the party in boss battles. However played with, as at the end of the boss battle the character accepts the negative, repressed, or otherwise hidden parts of themselves and start becoming more happy and well adjusted. Aparently beating the shit out of the physical manifestation of your problems does wonders for your psyche.
* One of the Camarilla Primogens, Alastair Grout, in ''VideoGame/VampireTheMasqueradeBloodlines'' actually was a psychiatrist in life. Unfortunately, at least his initial education was ''pre''-Freudian, and the fact that he happened to have been Embraced by a Malkavian (who are all mad) probably helped contribute to scrambling his later experiences (who in any case only seems to have gone up to the point when lobotomy was standard practice). [[spoiler:He is also dead by the time you get to him]].
[[/folder]]

[[folder:Web Comics]]
* In the third chapter of ''[[{{Webcomic/Morphe}} morphE]]'', Tyler gets to call his sister who works at a behavioral health clinic. He desperately wishes to tell her that he has awakened to magical powers and has been kidnapped by someone who wishes to train him up in their use. Unfortunately he cannot, and must instead pretend that he is in mental care after failing a suicide attempt. She begins to assert that she should be present and has his case file, unable to lie anymore Tyler hangs up.
[[/folder]]


[[folder:Web Original]]
* Averted by the SCPFoundation. Not only does the Foundation employ a bunch of therapists who are in on TheMasquerade, but in instances where saving lives involves being NecessarilyEvil, regular counselling sessions are ''mandatory''. However, there might still arise situations where none of the available therapists have a high enough security clearance level to be authorized to listen to your particular problems.
* Played with in Literature/{{Worm}}, where govenment-sanctioned superheroes ''can'' receive therapy from muggles who know all about them. However, it's by no means mandatory, and teen heroes can be out of luck if their base's commander thinks TherapyIsForTheWeak. Additionally, therapists rotate on a weekly basis. This is officially to prevent young superheroes being subverted by any particular therapist, but a knock-on effect is that it makes therapy much less effective as the patients have less chance to form a bond of trust with their confidant.
* Subverted in ''Literature/TheSanguineChronicles'': Marko's therapist ''was'' a muggle--until he turned into a werewolf during a session and threw her desk across the room.

[[/folder]]

[[folder:Western Animation]]
* {{Subverted}} in ''WesternAnimation/BatmanTheAnimatedSeries''--Harley Quinn began as the Joker's therapist at Arkham but of course soon demonstrates the GoMadFromTheRevelation option of this trope and becomes a supervillain herself. Now, she is his right hand woman (and an occasional guest back at Arkham). The character, created for the animated series, became so popular that she has been retconned into the comic book universe.
* WesternAnimation/YoungJustice subverts it as well. After the scarring events of "Failsafe", the team get some much needed therapy with ComicBook/BlackCanary.
* Apparently this is what DrFate is actually a doctor of in JusticeLeagueUnlimited.
[[/folder]]

[[folder:Real Life]]
* Some schools of thought advise against a therapist working with people who share their circumstances (such as a particular upbringing, trauma, or medical condition). The idea is that the therapist may identify too strongly or allow his or her experiences to color his or her approach (e.g. a therapist who had an abusive father figure that they later reconciled with may be more inclined to advise clients towards reconciliations themselves, assuming all abusive fathers are just like theirs). These schools of thought typically have a huge aversion to the expression "I know how you feel" for this reason.
** As an aversion, other therapeutic theories hold that only someone who '''has''' experienced similar circumstances can provide emotionally informed counsel. Programs such as Alcoholics Anonymous use this as a core principle.
*** People on the autistic spectrum tend to be somewhat adamant about this, and often cite a credo that's a rallying-cry of the disability rights movement: ''Nothing About Us Without Us''
* It can also be an issue for people involved in need-to-know national security issues or outright BlackOps: "this never happened" doesn't leave a lot of room for the people involved to deal with the resulting emotional issues. We can only hope that at least one therapist in our nation has top security clearance.
* According to [[http://well.blogs.nytimes.com/2011/03/22/when-god-is-part-of-therapy/?_r=0 this]] article, American psychiatrists, clinical psychologists, and clinical social workers tend to be less religious than Americans in general. This can create friction between secular therapists and religious patients.
* Historically, this was a major problem for gay, lesbian and transsexual people prior to the rise of the gay rights movement, with homosexuality being widely regarded as a mental illness which needed to be cured. Thus, psychologists were regarded as the public authority on homosexuals, not the gays themselves. While the views of individual psychologists ranged from the sympathetic to the downright bizarre, few were actually gay themselves (and in many places a doctor who ''was'' openly gay would no longer have been allowed to practice). A gay person admitting this to their therapist risked medical, legal and social persecution, so understandably many choose to avoid doctors as much as possible.
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