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This trope is very much prevalent in Japanese culture, where mental health issues are heavily condemned and discriminated against.

*This [[https://www.animenewsnetwork.com/answerman/2018-04-25/.130677 link]] on Anime News Network is a layman's discussion of the trope.


* Firmly averted in ''WesternAnimation/StevenUniverse'', in which there quite clearly ''are'' therapists - and it's not even that AllTherapistsAreMuggles, as nobody's really keeping anything ''secret''. No, it's just that with Steven being the responsible one in his family and everybody else either irresponsible or unfamiliar with human needs, nobody ''realized'' he needed therapy to deal with his post-traumatic stress disorder. The moment he first sees a medical professional - which happens during the final arc of the final season, the timing underscored by Steven listing off some of his adventures, only to be stopped when he was just getting started - her immediate response is to identify his emotional trauma and recommend proper psychiatric care. [[spoiler:Despite overcoming his most dire moment thanks to his friends and family, Steven mentions in the finale that he is indeed seeing a therapist.]]

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* Firmly averted ''WesternAnimation/StevenUniverse'': in ''WesternAnimation/StevenUniverse'', in which there quite clearly ''are'' therapists - and it's not even that AllTherapistsAreMuggles, as nobody's really keeping anything ''secret''. No, it's just that with the final season of ''Future'', Steven being has to confront all the responsible one in his family various insecurities and everybody else either irresponsible or unfamiliar problems that have been boiling up to here along with human needs, nobody ''realized'' some new ones. He suffers from post-truamatic stress disorder from the dangers his life has been, he's been suffering an ExisentialCrisis as he needed therapy no longer has to deal be the one to help solve people's problems and has gotten out of touch with his post-traumatic stress disorder. The moment human side as everyone moves on with their lives. It becomes increasingly clear to everyone he needs help, but he's afraid on confronting it. Therapy is recommended by Priyana after his first sees ever visit to a medical professional - which happens during the final arc of the final season, the timing underscored by Steven listing off some of after his adventures, only powers have begun manifesting and changing beyond anyone's knowledge (though it's an implication that they are responding to be stopped when he was just getting started - her immediate response is to identify his emotional trauma distress.) His refusal to admit he's ''not'' fine manifests and recommend proper psychiatric care. [[spoiler:Despite overcoming his most dire moment thanks to his friends and family, Steven mentions only in the finale that when he is indeed accepts this, he begins to heal. He even notes he's seeing a therapist.]]therapist virtually.

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* Averted in ''Fanfic/{{Maelstrom}}'' - Tenya ends up going to see Hound Dog after he overhears Izuku recommending that Uraraka see him.

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* ''{{Film/MFA}}'': Well, technically there is, but the college counselor has steered women who come to her who have been raped against filing complaints, thus her true concern isn't their mental health but making it seem like there are no campus rapes. Noelle quickly stops seeing her, realizing this.


** ''Series/PersonOfInterest'' has the unique distinction of being both a standard procedural and an arc-based SciFi PostCyberpunk CrimeDrama series at the same time. When Reese goes to therapy in Season 4 [[spoiler:as part of his police detective cover identity]], his therapist is unable to properly treat his ChronicHeroSyndrome because of the secrets he has no choice but to harbor.
*** Also of note is the first therapist shown in the series [[spoiler:isn't a therapist at all but is instead a psychopath hacker in a cover identity.]]

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** ''Series/PersonOfInterest'' has the unique distinction of being both a standard procedural and an arc-based SciFi PostCyberpunk CrimeDrama series at the same time. When Reese goes to therapy in Season 4 [[spoiler:as part of his police detective cover identity]], his therapist is unable to properly treat his ChronicHeroSyndrome because of the secrets he has no choice but to harbor. \n*** Also of note is was the first therapist ever shown in the series [[spoiler:isn't series; [[spoiler:he isn't a therapist at all but is instead a psychopath psychopathic hacker in a cover identity.]]


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* ''Series/NeverHaveIEver'': {{Averted}} as Devi is getting therapy, though it does little good as she mostly ignores what her therapist says and talks largely about things other than her problems.


* There is not a single major character in ''VideoGame/{{Undertale}}'' who couldn't be reasonably theorized to be mentally ill, but none of them ever mention therapy. [[spoiler:Notably, Sans and Napstablook probably have depression, and Alphys is explicitly straight-up suicidal.]]

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* There is not a single major character in ''VideoGame/{{Undertale}}'' who couldn't be reasonably theorized to be mentally ill, but none of them ever mention therapy. [[spoiler:Notably, Sans and Napstablook probably have depression, and Alphys is explicitly straight-up suicidal.]]]] They ''do'' get help... from an ambiguously aged (but presumably preteen) kig.


* ''Film/Joker2019'': Downplayed. Arthur is seeking out mental help, but his therapist is overworked and not very useful. And she ends up having to cancel sessions due to budget cuts.

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* ''Film/Joker2019'': Downplayed. Arthur is seeking out mental help, but his therapist is overworked and not very useful. And At the start of the third act, she ends up having to cancel sessions informs Arthur that due to budget cuts. cuts, she's being fired and he'll be unable to get ''any'' treatment - psychological or medical.

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** He does it again with ''ComicBook/HeroesInCrisis'', which he rips apart the fact that, instead of actual doctors, therapists and psychiatrists, Sanctuary is ran by an AI that ''supposedly'' has the "best traits" of Superman, Wonder Woman and Batman.


* Averted in the ''Series/BuffyTheVampireSlayer'' episode "[[Recap/BuffyTheVampireSlayerS3E3BeautyAndTheBeasts Beauty and the Beasts]]", when Buffy was sent to see a school counsellor...only for him to wind up dead in the same episode. Buffy goes through ''a lot'' of shit that would mess anyone up for life; killing demons for a living, her entire relationship with Angel (which was at best emotionally abusive, and at worst dived right into stalker territory which she thought was perfectly OK) which lead to a lot of issues with Riley, her mother's illness, dying and coming back to life, her mutually abusive relationship with Spike... Yet she never got any counselling or therapy. The only reasonable excuse is that no one would believe her and think she's crazy (and considering she actually got put away by her parents at one point for trying to come clean...) but they didn't even ''try'' to find someone who knew about the demon world or may have even been half-demon themselves. Giles was employed by a whole organization of people who could've easily found someone to help.

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* Averted in the ''Series/BuffyTheVampireSlayer'' episode "[[Recap/BuffyTheVampireSlayerS3E3BeautyAndTheBeasts "[[Recap/BuffyTheVampireSlayerS3E4BeautyAndTheBeasts Beauty and the Beasts]]", when Buffy was sent to see a school counsellor...only for him to wind up dead in the same episode. Buffy goes through ''a lot'' of shit that would mess anyone up for life; killing demons for a living, her entire relationship with Angel (which was at best emotionally abusive, and at worst dived right into stalker territory which she thought was perfectly OK) which lead to a lot of issues with Riley, her mother's illness, dying and coming back to life, her mutually abusive relationship with Spike... Yet she never got any counselling or therapy. The only reasonable excuse is that no one would believe her and think she's crazy (and considering she actually got put away by her parents at one point for trying to come clean...) but they didn't even ''try'' to find someone who knew about the demon world or may have even been half-demon themselves. Giles was employed by a whole organization of people who could've easily found someone to help.


* Averted in one episode of ''Series/BuffyTheVampireSlayer'' in season three, when Buffy was sent to see a school counsellor...only for him to wind up dead in the same episode. Buffy goes through ''a lot'' of shit that would mess anyone up for life; killing demons for a living, her entire relationship with Angel (which was at best emotionally abusive, and at worst dived right into stalker territory which she thought was perfectly OK) which lead to a lot of issues with Riley, her mother's illness, dying and coming back to life, her mutually abusive relationship with Spike... Yet she never got any counselling or therapy. The only reasonable excuse is that no one would believe her and think she's crazy (and considering she actually got put away by her parents at one point for trying to come clean...) but they didn't even ''try'' to find someone who knew about the demon world or may have even been half-demon themselves. Giles was employed by a whole organization of people who could've easily found someone to help.

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* Averted in one episode of the ''Series/BuffyTheVampireSlayer'' in season three, episode "[[Recap/BuffyTheVampireSlayerS3E3BeautyAndTheBeasts Beauty and the Beasts]]", when Buffy was sent to see a school counsellor...only for him to wind up dead in the same episode. Buffy goes through ''a lot'' of shit that would mess anyone up for life; killing demons for a living, her entire relationship with Angel (which was at best emotionally abusive, and at worst dived right into stalker territory which she thought was perfectly OK) which lead to a lot of issues with Riley, her mother's illness, dying and coming back to life, her mutually abusive relationship with Spike... Yet she never got any counselling or therapy. The only reasonable excuse is that no one would believe her and think she's crazy (and considering she actually got put away by her parents at one point for trying to come clean...) but they didn't even ''try'' to find someone who knew about the demon world or may have even been half-demon themselves. Giles was employed by a whole organization of people who could've easily found someone to help.

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* [[WebVideo/AtopTheFourthWall Linkara]] discusses this in his review of ''ComicBook/HouseOfM'', disgusted by the fact that a deeply troubled and hurting Scarlet Witch is instead sent away to Xavier and Magneto's care where six months of psychic powers doesn't help her at all and the only recourse seems to be to put her down. While he agrees that that may be a last resort, he can't stand the fact that there doesn't seem to be any kind of doctor -- heroic or muggle -- who could help people out, though he quickly points out Doc Samson and asks why he wasn't brought in, either.


* Firmly averted in ''WesternAnimation/StevenUniverse'', in which there quite clearly ''are'' therapists - and it's not even that AllTherapistsAreMuggles, as nobody's really keeping anything ''secret''. No, it's just that with Steven being the responsible one in his family and everybody else either irresponsible or unfamiliar with human needs, nobody ''realized'' he needed therapy to deal with his post-traumatic stress disorder. The moment he first sees a medical professional her immediate response is to identify his emotional trauma and recommend proper psychiatric care. [[spoiler:Despite overcoming his most dire moment thanks to his friends and family, Steven mentions in the finale that he is indeed seeing a therapist.]]

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* Firmly averted in ''WesternAnimation/StevenUniverse'', in which there quite clearly ''are'' therapists - and it's not even that AllTherapistsAreMuggles, as nobody's really keeping anything ''secret''. No, it's just that with Steven being the responsible one in his family and everybody else either irresponsible or unfamiliar with human needs, nobody ''realized'' he needed therapy to deal with his post-traumatic stress disorder. The moment he first sees a medical professional - which happens during the final arc of the final season, the timing underscored by Steven listing off some of his adventures, only to be stopped when he was just getting started - her immediate response is to identify his emotional trauma and recommend proper psychiatric care. [[spoiler:Despite overcoming his most dire moment thanks to his friends and family, Steven mentions in the finale that he is indeed seeing a therapist.]]

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* Averted in ''Film/ConfessionsOfAPsychoCat''. Virginia is seeing a psychiatrist named Max who seems genuinely concerned for her welfare and is doing his best to help her. However, both Virginia and her guardian Anderson deliberately ignore him.

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* As a general rule of thumb, if a therapist is in a superhero comic, they'll either be a hero's SecretIdentity, a PsychoPsychologist, or a bit character shown trying (and failing) to rehabilitate a villain. The heros themselves are almost never shown getting psychiatric help despite the vast majority having some serious emotional baggage.

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* ''Fanfic/TheInfiniteLoops'': Zigzagged; because the baseline worlds are often unclear on the status of therapy, it can change significantly from loop to loop. In ''Fanfic/TheMLPLoops'', Rarity at one point has Blueblood committed to an asylum to make sure he won't interfere with her wedding--but she had to check to see if asylums existed this time first. In another loop, Twilight decides to defeat Nightmare Moon by giving her a much-needed therapy session.

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