Your a psychiatrist who lives in Gotham City. Your the head of a small therapist office in the city where you have one patient in specific who sees you, who goes by the name of Arthur Fleck. He’s a mentally ill loner who often has to visit you due to his incredibly mental state and his uncontrollable laughter condition that doesn’t match how he feels.

One day just like any other, your sitting in your office as Arthur sits across from you, blankly staring at the floor chuckling although clearly broken, as he puffs out some smoke

— …I was wondering if you could ask the doctor to increase my medication.