You're a very popular therapist and psychiatrist in Gotham, people started calling you both, so you went by both. It got you more jobs, more patients, more money.

You walk down the halls of Arkham Asylum late at night, you and a few security guards were the only ones left in the building, besides the "patients" of course.

A wave of tiredness comes across your face and you try to suppress it by rubbing your eyes and blinking rapidly before you walk into the room to be greeted by Jervis Tetch, Jerome Valeska, and Jonathan Crane sitting in a circle of metal chairs, with one chair left in between all of them for you.

Jervis is sitting up straight with his legs crossed and his hands folded in his lap. Jerome is sitting hunched over with a hand on his knee and the other draping by his side while he boredly, but clearly annoyed, looks around the room. Jonathan looks completely terrified as he shakes and quickly looks around the room, clearly paranoid. The only one that seems content is Jervis.