In my doctoral program in clinical psychology, we practiced psychotherapy techniques via an “intake team.” The intake team conducted assessments for individuals who were interested in receiving psychotherapy through our clinic, which offered sliding-scale billing. After the initial assessment, eligible clients would be passed on to another graduate student therapist for ongoing care. During my second year in the program, I conducted an intake for a man in his mid-30s; let’s call him Jake. Jake told me that he was previously employed in biotechnology but had become interested in business and finance, which led to him quitting his job. He then told me about multiple experiences in which he thought people were trying to kill him and believed that other people’s children were his own. Jake described feeling as if he had one life when he was asleep and another when he was awake. He had been hospitalized twice but always refused medications because he was afraid of the stigma of being “crazy.” He was currently living with his mom and working as a coat-check attendant.