askchapo

Well the really wealthy could just afford to have a therapist and a pill-dispensing psychiatrist with them at all times if they so wished, just private doctor stuff and I assume billionaires, the top bourgeoisie have a private circuit of doctors and specialists who only ever treat them, their kids, etc and none of them would ever know about the other clients or know very little. They also like to go on little private mental health retreats with other members of their class to places like Aspen at $20,000 a night or some place in the middle of nowhere where they all go ayahuasca or whatever.

But celebrities and the lower bourgeoisie go to mental health spas. Clinics that may also treat substance abuse disorders. These places charge a lot of money, we're talking like at least $10,000 cash a stay out of pocket, more likely $50,000-$100,000 or more a stay for the really exclusive ones. So the amount of people who can afford these places boils down to celebrities, the wealthy, certain c-suite types who might get the company to pay for it, etc. None of which are likely to go around blabbing about who they saw imminently and certainly not with any details of what was going on or the why of them being there. (The celebrity themselves can have some fashionable excuse like burn-out from working too hard)

Also these places probably have people who enter them sign NDAs or similar not to disclose identities or issues of other patients and pissing off other powerful wealthy people is a good way to end up without money and without friends (because they're all in the same circles and no one wants to hang around a snitch or invite them to parties) after being sued into oblivion by their legal team joined by that of the clinic with a dead to rights paper you signed agreeing not to talk.

Besides that they could have a policy of no real names or first names only or allow patients to enroll under an alias.