“Yep. The Christmas that comes in a few months. Can you picture yourself celebrating Christmas?”
She’s got me.
“No.”
“You can’t picture Christmas?”
“No.”
“It’s okay, Isabel. You don’t have to feel crestfallen about that. You’ve only been here a short time. We don’t expect miracles. Patients aren’t expected to go from suicidal ideation to long-range planning in that short period of time. It’s okay.”
Isabel begins to cry.
“Can you tell me why you’re crying?”
Through her tears Isabel’s voice cracks. “I want to get out of here.”
“I hear this is highly upsetting to you,” Dr. Seidler says, trying to soothe her. “But as I told you yesterday, I am going to recommend to my colleagues that you stay with us a little while longer. That will help you in the long run.”
Isabel can barely hear her. Her depression is floating away, disappearing like an airline tray neatly folding back into its cave underneath the armrest, patiently waiting to again emerge for the next flight. She has stopped crying.
“Isabel? Isabel, what are you thinking right now?”
“I don’t know. I’m just blank.”
“Try. Try, if you can, to tell me what is on your mind right now. You’ve got a strange look on your face. You look scared.”
“Huh? Oh. No, I’m not scared.”
“What’s the first thing that pops into your mouth when I ask you to speak?”
Isabel’s eyes settle directly on Dr. Seidler’s face. “There’s no way I’m living until next Christmas. No way.”
“Why? Isabel? Stay with that thought…why? Can you hear me?”
Isabel is already gone. In her mind she sees the truck speeding toward her. She hears the screech of the brakes, the truck’s tires locking up too late. She closes her eyes imagining the impact, the feel of the pavement beneath her bloody body, the relief.
I refuse to be someone who’s in and out of institutions. I will not be Zelda Fitzgerald.
“Isabel. Listen to me for just a minute.” Her therapist is trying to get her attention. “While you’re here we need to work on your coping skills. I see you get a little overwhelmed with life. We need to teach you how to deal with the stuff that’s thrown at you. That way you won’t need to dissociate yourself from it, like you seem to be doing right now.”
“‘A little overwhelmed’?” Isabel snaps back and is crying again. “‘A little overwhelmed’? I’d say it’s a little more than that.”
“Okay, tell me.”
“Well, first of all, I have absolutely no control over my life and what I do with it. ANN has me on call twenty-four hours a day, seven days a week. They’ll beep me at three in the morning and tell me to get to the airport and sometimes I don’t even know where I’m going until I call from the back of the taxi. I have to have a bag packed at all times so that I can just walk away from whatever I’m doing and go to work. I’m in the middle of getting divorced. I don’t even have time to go to couples counseling—not that that’s any big loss, though….”
“Before you go any further,” the therapist interrupts Isabel, “let’s look at these things one at a time. You bring up some very good points. Let’s start with the divorce. What happened in your marriage?”
Isabel softens and slumps into her chair.
“My marriage?”
“I think that might be a good starting point for us.”
“Alex. That’s his name. Alex.” Isabel is sobbing again.
“Tell me about Alex.”
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