I'm guessing when he started therapy, it was mostly to process his guilt regarding the kids and his divorce. That's making the assumption he had guilt about leaving their mother and them for a "wild tear," followed by marriage to a simpleton. But what do you think he really discusses with his therapist these days? I'm wondering if he brings up stuff like wearing a wig, and his obvious eating disorder/body dysmorphia issues. Part of me thinks he's probably not able to be fully honest - even with his therapist.