Therapists unravel on screen again: Backrooms and A Private Life make shrinks the threat
A new wave of horror and drama puts psychiatrists on the couch, and decision-makers should care about what that signals.

Recent films including Rose Byrne’s If I Had Legs I’d Kick You, 2022’s Smile starring Sosie Bacon, plus UK releases Backrooms and A Private Life with Jodie Foster, turn therapists into the unraveling core of the story. For executives, the trend matters because it reflects shifting audience expectations and increases demand for psychological stakes, not just jump scares.
There’s an old adage, usually tossed off like a joke but stuck with a cold edge: “every therapist needs a therapist.” The Guardian piece pulls that line into focus by pointing to a recent pattern in cinema. Psychotherapists are no longer safe, neutral guides. They are unravelling. And in horror and psychological dramas, they are often the place where fear begins, not the place it ends.
That shift is on full display in the UK right now, where two lead-role additions show therapists cracking under pressure. In Backrooms, Renate Reinsve plays a psychiatrist and self-help author who starts off secure and calm, then totally unravels as she tries to navigate the uncanny corridors of her own mind. Meanwhile in Rebecca Zlotowski’s A Private Life, Jodie Foster plays a shrink turned sleuth, deciding to investigate the death of a former client while also quietly trying to make up for her shortcomings as a spouse and parent. In other words: these are not supporting characters who “understand.” These are the characters who destabilize.
The piece frames this as more than a creative trend. It ties the cycle back to psychology’s own origin story, noting that psychoanalysis was still in its infancy when Sigmund Freud said all psychoanalysts should “submit” themselves to being analysed. That is the unbreakable loop at the heart of the theme: those who treat trauma are not immune to it. In the cinema the article surveys, therapists end up exposed to the same forces they attempt to manage. The implication is uncomfortable, but it also explains why the stories land. When the therapist is the protagonist, the audience does not just watch treatment, they watch vulnerability.
The article also makes a pointed point about where therapists used to sit in popular culture. For a long time, psychoanalysts hovered as supporting figures. Think, it says, of Good Will Hunting (1997) and The Sopranos, where therapists exist in the narrative orbit but typically do not run the plot. Now, “film is finally giving therapists their moment on the couch.” That phrase matters because it is not only about representation. It is about power. If the therapist is the lead, then the story’s emotional and psychological logic is controlled by someone who is already presumed to understand minds. That mismatch is fertile ground for dread.
The recap of earlier films shows how the trend has been building. It begins with Rose Byrne in If I Had Legs I’d Kick You, a Mary Bronstein film described here as hallucinatory. Byrne plays a therapist and floundering mother caught in a downward spiral. Then it pivots to 2022’s Smile, where a psychiatrist portrayed by Sosie Bacon is pursued by a malignant metaphor for her poor mental health. The common thread across these examples is that diagnosis and interpretation do not protect the character. They become another lens that intensifies the threat.
For executives, this is a creative signal with business consequences. Psychological stakes are not a niche taste anymore; they are being used as the engine of mainstream genre storytelling. When a film turns a clinician into the unstable center, it demands more than plot. It demands performances that can show calm breaking into confusion, self-help credibility collapsing into fear, and professional identity blending into personal failure. That is work-intensive for writers, directors, and actors, but it can also raise audience engagement. Viewers are not just consuming suspense. They are watching an authority figure lose control of their own inner narrative.
There is also a cultural second-order implication: modern audiences increasingly expect characters to be psychologically legible, even in horror. The Guardian’s framing suggests cinema has latched onto the emotional contradiction of therapy itself. The person who sits across from you is also a person with limits. If you are building slate strategy, this trend argues that fear can be authored as internal conflict, not only as an external monster. That can translate into programming that spans horror and drama while still sharing DNA: the therapist as the site of unraveling.
Regulatory background is not the focus of the source, but there is a practical governance layer for media companies to keep in mind when psychological professionals become horror protagonists. Depictions of mental health, therapy, and psychoanalytic themes can influence public perception, and creators operate under scrutiny that includes platform standards, advertising and classification norms, and audience sensitivities. Even without new rules cited in the article, the direction of travel is clear: films are taking mental health expertise seriously enough to make it terrifying, and that invites both opportunity and responsibility.
So what is the stake? The piece ends up pointing to something wider than two new releases. It is about the audience relationship to authority, expertise, and vulnerability. When the therapist is front and center, the viewer’s attention shifts from “Will the patient improve?” to “Can the helper remain coherent?” For peers in entertainment, that is a mandate to invest in psychological realism and character consistency, because the demand is no longer just spectacle. It is a new standard for how fear is justified on screen. If the therapist is the monster, the story has to earn the transformation, quickly, and with enough emotional logic that the unraveling feels inevitable.
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