Beautiful shooter / visual novel mix !
I really enjoy your take on the theme with the therapy being an ultra hardcore bullet hell :p
The overall aesthetic is very good and i like the “papercraft” look to it especially the little detail of any changing ui element being taken away by some paper ball as if you threw away some pages in a notebook :D
Gameplay wise this seemed solid with good movement control and all and i like that the hitbox is clearly indicated at all times.
I couldn’t go all that far cause the difficulty is way beyond my skill level O_o so i can’t say much else.
Overall cool entry, good job ^^