[Neither the silence, nor the answer surprise him. Alucard's from the fifteenth century. People tended to use death and torture as a method of dealing with mental illness back then, and it's unlikely he's up to date on current methods.]

You've already started, technically. You're talking about it. Continue along that line.

[He forks more pancake into his mouth, chewing and swallowing.]

Do you have a preference for who to talk to?

[If it's a medical professional, well, he's vaguely aware of one therapist in Duplicity.]