When he pushes another kid down the stairs, Stewie is ordered to see the school's child psychologist. And reveals shocking truths about himself.
Tropes:
- Accent Relapse: This being the episode where we learn that Stewie's British accent was fake the whole time, we actually get to hear what he actually sounds like. It's only for this episode though he returns back to the fake accent.
- Almost Dead Guy: Dr. Pritchfield uses his last dying breath to tell Stewie that he's not British.
- Ambiguously Bi: Stewie assures Dr. Pritchfield that he's straight, but immediately backpedals, saying that he's "fluid", as he finds himself reverting from being interchangeably attracted to either gender. Some fans interpret this as him finally admitting to being bisexual for the first time, but some claim this confirms his heterosexuality.
- Armor-Piercing Response: After Stewie goes on 6-minute rant, wherein he tears into Dr. Pritchfield's every anxiety and insecurity, Pritchfield responds with a simple, "You seem like a very lonely little boy," which drives like a stake through Stewie's heart and brings him instantly to tears.
- Bottle Episode: This entire episode only features Stewie, Brian, and Dr. Pritchfield and takes place solely in the latter's office.
- Call-Back: Upon losing his mother, Dr. Pritchfield looks around the burning building, calling her name. This leads him to repeatedly say "Mommy, mommy, mommy, mom, mama, mom?" in the same fashion as Stewie in the famous scene from "Stewie Loves Lois".
- Characterization Marches On: Stewie is apparently scarred by the fact that he let Dr. Pritchfield die and badly injured a classmate, despite the fact that he used to be a stone-cold killer, who murdered numerous people like Diane Simmons, Jeremy, Vern & Johnny, New Brian, etc., and attempted to murder others (his mother, Olivia and others) without batting an eye. Though this might be because he feels guilty as Pritchfield was trying to help him.
- Crazy-Prepared: Dr. Pritchfield is a mere school councilor at a preschool, yet he dresses up, acts like, and decorates his room like he's a professional therapist, working with full grown adults.
- Dark and Troubled Past: Dr. Pritchfield tells the story of when he lost his parents, when his town was under attack in World War II. When searching for a new home to live in, he was rejected by numerous orphanages and even his own family members, before finding his a decent foster home.
- Defiant to the End: When Dr. Pritchfield realizes that Stewie isn't going to help him, he picks up a picture of his husband Michael and recites lines of Shakespeare. Stewie thinks they're from Macbeth, and Dr. Pritchfield uses his last breath to deliver a final insult, reminding Stewie that he will always be a fraud:Dr. Pritchfield: Romeo and Juliet, actually. But I wouldn't expect you to know, since you're not, in any way, British...
- Dying Declaration of Love: Among Dr. Pritchfield's last words are a quote from Romeo and Juliet, spoken to a picture of his husband.
- Fake Brit: Dr. Pritchfield can't hear any British accent from Stewie's voice, and Stewie ultimately discards the accent when he reveals his true self... only to relapse when he's told that he's now just like anyone else. Dr. Pritchfield gets in one last jab at Stewie not really being British before he succumbs to his heart attack.
- From Bad to Worse: Right after Dr. Pritchfield dies of a heart attack, his husband calls him, saying he wants a divorce.Stewie: This is not your day.
- He Knows Too Much: After changing his mind about exposing his true self to the world, Stewie decides to sit back and let Dr. Pritchfield die so he can take the secret to his grave.
- Hey, That's My Line!: Stewie calls Dr. Pritchfield out for doing the "Mommy mommy mommy" thing from "Stewie Loves Lois".
- Hidden Depths: Stewie reveals tons of secrets about himself. This includes the fact that his British accent is fake along with his real voice, and his wide vocal range. He even described what he identifies his sexual orientation as. Stewie also admits that his main conflict in life is his loneliness and desire to be liked.
- I Just Want to Be Special: Stewie absolutely hated hearing that his true colors made him "Just like everybody else." and chose uniqueness over becoming a normal, self-fulfilled, functioning member of society.
- Ink-Suit Actor: Dr. Pritchfield has the very same appearance as his actor, Ian McKellen.
- Lampshade Hanging: Stewie admitting that even he doesn't understand why some people can understand him, but some others can't.
- Leaning on the Fourth Wall: This episode has a few jabs at the fourth wall, scattered about. Stewie brings up the controversy over how some people can understand him, but some people can't. His explanation of his sexual orientation was done to either quench or add to the ongoing confusion of his sexual orientation among the fanbase. And lastly, when Stewie does voice impressions of Peter, Quagmire, Roger, etc., Dr. Pritchfield tells him that he still sounds like the same personnote .
- Motor Mouth: Stewie is a complete chatterbox in this episode with never ending speeches. Never for once does he stop to take a break or allow Dr. Pritchfield a chance to interrupt.
- Murder by Inaction: Stewie lets Dr. Pritchfield die by not getting his medication while he's having a fatal heart attack, not wanting the truth to come out.
- My God, What Have I Done?: The last few seconds of the episode reveal that Stewie is scarred by how he let Dr. Pritchfield die. He'll forever be reminded of the fact that he allowed an old man, who previously tried to help him, die for his own selfish reasons. He'll pretend that he doesn't care and possibly forget about it at times, but he will always have to live with that memory until the day he dies.
- Not So Stoic: Dr. Pritchfield plays a bullet-proof Deadpan Snarker for most of the episode, but cracks at the very end, when he has a heart attack and his joints lock up, stopping him from getting out of the chair to get to his pills.
- Older Than They Look: Dr. Pritchfield lived through World War II, and appeared to be about 8-10 years old in his flashback. Assuming this episode takes place in 2018, this lands him in his late 80's or early 90's. This may be a nod to his playing Magneto—an embittered World War II survivor and a powerful mutant who, despite being past seventy, looks to be a vigorous middle-age.
- Out-of-Character Moment: Inverted. Stewie reveals that the guy we all know him as now is a faux personality, and turns himself on his head, when he shows his true colors.
- Overly Long Gag: Pretty much every joke in this episode. The most drawn out would have to be Stewie singing "Alexander Hamilton", while a bunch of snot drips from his nose.
- Queer Character, Queer Actor: Sir Ian McKellen, of course, as gay, married school psychiatrist Cecil Pritchfield.
- "The Reason You Suck" Speech: Stewie delivers a big, six-minute rant to Dr. Pritchfield, tearing into all his insecurities and pretensions at once.
- Running Gag: Dr. Pritchfield correcting Stewie for mispronouncing certain words, such as "Controversy", "Cecil", and "Message", and then giving them the phonetic British pronunciations, like "Con-TRAW-Ver-Sy", "Seh-Sull", and "Massage" (although, as Stewie implies, the last one isn't actually real).
- Shoot the Shaggy Dog: Dr. Pritchfield lost his family in the bombing of London during World War 2. He grew up married his partner Michael, but their relationship becomes strained over the years. Despite some difficulty, manages to make a breakthrough with Stewie only for the latter to regress back to his old self. Then he has a heart attack and dies because Stewie refuses to give him his heart medication, only able to impotently remind Stewie he isn't British. Then his answering machine receives a message from Michael telling him he wants a divorce.Stewie: This is not your day.
- Shout-Out: Stewie does the voice of Roger from American Dad!.
- Title Drop: Dr. Pritchfield's first quote and the first spoken line of dialogue in this episode.
