Ethan takes a few tests with his therapist. After doing so, the therapist will talk to Ethan and tells him that he must find a way to move on and is not responsible for Jason's death. Ethan still blames himself for the death of his son. The therapist then asks him about Shaun. Ethan has multiple choices of how to answer each question. After answering them all, Ethan is about to leave. The therapist then tells him that he is lucky to survive the accident. Ethan replies "I don't exactly feel lucky" and leaves. There are multiple options the player may choose when taking the initial test and speaking with the therapist, though there is no impact on other game decisions and events resulting from different answers.
- Because the player can read Ethan's emotions as he answers the therapist's questions, it can be determined that Ethan is entirely truthful about wishing he were dead, and is genuinely suicidal. Even if answers which show this are given, the therapist will more or less disregard the seriousness of the situation, and end his appointment with Ethan while his suicidal patient is still clearly distressed.
- The therapist confuses/conflates schizophrenia and dissociative identity disorder. Dissociative identity disorder was once popularly known as "Multiple Personalities" while schizophrenia is a chemical imbalance/biological disorder resulting in hallucinations and a host of emotional and mental instabilities.
- It is recommended that you do not tell the therapist of the blackouts, since he will tell the police of Ethan's problems and give them another reason to hunt Ethan.
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