Psychotherapy, this one has multiple flags to be set up. Essentially you have to make every wrong choice that pisses off the Psychologist. Keep interrupting him, Talk to Electrohead DJ and refuse to take more medication, kill everyone in Prison, repeatedly hang up his calls and insult him when you have the chance. In the pre-Bunker session he will say something along the lines of “I am sad that you are still alive” that is an indication that you set this up correctly. After that just continue with the story and you will eventually get the achievement.