In this chapter, Lieutenant Carter Blake and FBI agent Norman Jayden go to Ethan's psychologist to follow up on the claims made by Ethan's ex-wife Grace regarding his unusual behavior, which may indicate he is the Origami Killer. The conversation with the psychologist starts off civil enough, with Blake introducing himself and Jayden before asking the psychologist about Ethan's mental health. There are various dialogue prompts for the player to choose from, though they don't directly affect what happens between Blake and the shrink.
As the shrink keeps refusing to tell Blake what he knows of Ethan citing doctor-patient confidentiality, Blake grows more hostile and threatening. Norman can choose to try calming Blake (though again, whatever he says doesn't affect the outcome much here) or joining with Blake to get some answers. Both options must be pursued in order to get both trophies for the chapter.
Eventually, Blake throws the shrink over his desk and proceeds to beat him in an attempt to wring the information out of him. Norman can pursue several different courses of action here. He can stand aside and allow Blake to beat the the shrink, tell Blake he has no right to hit the shrink, threaten to report Blake for his behavior so he is thrown off the case, or physically intervene.
No matter what the player chooses to do, the shrink eventually caves and tells Blake and Jayden that Ethan is tormented by visions of drowning bodies. He then takes a small origami figure out of a drawer in his desk and tells them that it had fallen out of Ethan's pocket a few weeks before during one of their sessions. The chapter ends with Blake ordering the police force to consider Ethan Mars a suspect.
Chapters played as Ethan (in chronological order) - Prologue | The Mall | Father and Son | The Shrink | The Park | Where's Shaun? | Paparazzi | Lexington Station | The Motel | The Bear | The Butterfly | The Lizard | Fugitive | The Shark | On the Loose | The Rat | The Old Warehouse
Chapters played as Scott (in chronological order) - Sleazy Place | Hassan's Shop | Suicide Baby | A Visitor | Kramer's Party | The Golf Club | Manfred | Eureka | The Cemetery | Flowers on the Grave | Trapped | Face to Face | Hold My Hand | Origami Killer
Chapters played as Norman (in chronological order) - Crime Scene | Welcome, Norman | Kick Off Meeting | Nathaniel | Covered Market | Shrink and Punches | Jayden Blues | Under Arrest | Mad Jack | Fish Tank | Solving the Puzzle | The Old Warehouse