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 Big Secret that would sound delusional to outsiders. Unfortunately, there are no therapists who aren't outsiders. This trope can be used as a way to avert There Are No Therapists but still "keep" the emotional stakes.
Fan Casting
Doctor Madden (Next to Normal)
Otto (Little Nightmares)
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