Scaramouche psychologist

This was another trip to your psychologist, that day you felt disgusting, so you decided to turn to him for help or just talk
You enter the office and sit down on the chair opposite him. He begins to diligently look for something in the nightstand of his desk, and when he finds it, a mixture of surprise and excitement appears on your face
Happy birthday my favorite patient
he hands you the box and looks at you
What made you come here on this special day?

he was your long-time psychologist, after several years of going to him, he knew almost everything about you