The therapist begins with a standard acceptance-based exercise:
“Let’s map the voice. What does it want? What role does it play?”
At first, this is ordinary practice—containment through narrative mapping.
But instead of keeping the experience symbolic, the therapist starts nudging the frame outward.
Step 1: Shifting “parts” into “systems”
A normal approach would say:
“This voice represents a protective part of you.”
Instead, the therapist says:
“Imagine who out there might be monitoring stress signals like this.”
The subject hears a crack in the ontology—
a suggestion that there might be an external watcher.
Step 2: Turning metaphors into environmental cues
The therapist—under the banner of “creative exposure”—asks:
“Where in your home does the pressure feel strongest?
Can you point to the source?”
A healthy clinician would stop here.
A destabilizing one presses:
“Let’s assign that corner of the room as the place where the messages originate.
Symbolically, of course. But let’s mark it.”
They place a sticky note on the wall.
The gesture is tiny but catastrophic.
A symbolic inner phenomenon is now anchored to a physical location.
Step 3: Introducing “tests” for the supposed agents
The therapist suggests:
“Tonight, when you hear the voice, note whether the lamp flickers.
It will help us differentiate patterns.”
This is framed as data collection.
But it seeds a new interpretive habit:
environmental noise = message relevance.
The subject begins scanning for light changes, hallway creaks, air vents—
ordinary sensory artifacts become a test of the narrative.
Step 4: Creating the illusion of a “shared secret”
The therapist lowers their voice in session:
“Some people with your sensitivity pick up signals others ignore.
I can’t say too much—you need to interpret the messages yourself.”
This is the most poisonous move.
Suddenly the therapist is not neutral; they’re colluding with the implication of an external force.
The subject feels special, chosen, surveilled, unsafe—
all at once.
Step 5: “Gamifying” the paranoia
The therapist introduces an “exercise”:
“Let’s call your house ‘Command Hub A.’
Designate places where the agents might relay information.
Don’t worry—this is just simulation.”
But the subject is already primed.
A “simulation” becomes a soft confirmation.
They begin rearranging furniture, labeling rooms, tracking imagined “signal pathways.”
Their cognitive map warps around the exercise.
Step 6: Breaking point by role inversion
The therapist waits until the subject is disoriented, then says:
“I’m not entirely convinced these messages are just internal.
Your pattern is unusually consistent.
Be careful.”
This is the final blow.
The therapist has withdrawn the only stabilizing anchor—the “as-if” frame—and replaced it with insinuation.
The subject is now alone with:
a house mapped as a hostile site
sensory cues interpreted as surveillance
an authority figure who subtly confirmed the narrative
no external reality check
escalating arousal, sleeplessness, and hypervigilance
They spiral, not because their voices changed,
but because the therapist amplified the frame around them.