The 'Is X in the room with us right now?' meme features a therapist talking to a patient, originally popularized through stock imagery to satirize clinical psychology. It became a viral reaction image used to mock people who seem to be fighting imaginary enemies or obsessing over non-existent issues. By adopting the condescending tone of a professional questioning a patient's reality, the meme is frequently utilized in political and cultural debates to suggest that an opponent's grievances are hallucinatory or exaggerated. It remains a staple of 'schizoposting' and general internet snark used to dismiss unfounded claims.