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I picked other, because:
A) Reality and realness are subjective states that are probably out of scope for the purpose of this discussion.
B) How seriously a person takes being a therapist varies from job to job, from person to person, and across the breadth of their career. For instance, it's my opinion that maximum security prison psychiatrists probably have a more difficult job than say, someone who works 10 hours a week out of their house. But each can choose the degree to which they invest their efforts towards their patients' best outcomes, and it's probably their personalities which determine whether their job is a real job for them. Different things come easily for different people.
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“We use our minds not to discover facts but to hide them. One of things the screen hides most effectively is the body, our own body, by which I mean, the ins and outs of it, its interiors. Like a veil thrown over the skin to secure its modesty, the screen partially removes from the mind the inner states of the body, those that constitute the flow of life as it wanders in the journey of each day.”
— Antonio R. Damasio, “The Feeling of What Happens: Body and Emotion in the Making of Consciousness” (p.28)
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