Before the game starts, the patients must agree on a common affliction, such as being afraid of the dark, or believing themselves to be a particular film star.
The psychiatrist then returns, and attempts to diagnose the collective illness by asking indirect questions to each patient in turn ("Do you prefer the daytime or the nighttime?"
"[1] The game continues until the psychiatrist correctly identifies the patients' ailment.
In this version, as before, participants sit in a circle while one person leaves the room.
With a Psychiatrist who already knows how to play, the pattern tends to be quite esoteric ("the first person to your left who is a different gender but shares your hair color").