Therapists nationwide say they’ve been overwhelmed by the strong feelings triggered by one of the most divisive figures in modern political history.

Some patients who support Trump say they feel isolated because they can’t share who they voted for in their workplace or home for fear of being harassed or called xenophobic or misogynistic. With few people to talk to freely, they turn to online forums and their therapists.

Opening up about voting for Trump has already stoked conflict with family and friends. One therapist mediated a case in which an adult son threatened to cut off his relationship with his parents because they voted for Trump.

Mental health professionals such as Drake have abandoned neutrality, while others are struggling to maintain it. Therapists on both sides of the political aisle are grappling with how to help patients affected by a national issue over which they have little control.