The Silent Patient(20)

Before Christian could reply, a massive thud made us jump. Elif was on the other side of the glass, hammering at it with her fists. Her face was pressed up against it, squashing her nose, distorting her features, making her almost monstrous.

“I won’t take this shit no more. I hate this—these fucking pills, man—”

Christian opened a small hatch in the glass and spoke through it. “Now is not the time to discuss this, Elif.”

“I’m telling you, I’m not taking them no more, they make me fucking sick—”

“I’m not having this conversation now. Make an appointment to see me. Step away, please.”

Elif scowled, deliberating for a moment. Then she turned and lumbered off, leaving a faint circle of condensation where her nose had been pressed against the glass.

“Quite a character,” I said.

Christian grunted. “Difficult.”

Indira nodded. “Poor Elif.”

“What’s she in for?”

“Double murder,” Christian said. “Killed her mother and her sister. Suffocated them while they slept.”

I peered through the glass. Elif joined the other patients. She towered over them. One of them slipped some money into her hand, which she pocketed.

Then I noticed Alicia at the far end of the room, sitting by herself, by the window, looking out. I watched her for a moment.

Christian followed my gaze and said, “By the way, I’ve been talking to Professor Diomedes about Alicia. I want to see how she does on a lower dose of risperidone. I’ve brought her down to five milligrams.”

“I see.”

“I thought you might want to know—since I heard you saw her for a session.”

“Yes.”

“We’ll have to monitor her closely to see how she reacts to the change. And, by the way, next time you have a problem with how I medicate my patients, come to me directly. Don’t sneak off to Diomedes behind my back.” Christian glared at me.

I smiled back at him. “I didn’t sneak anywhere. I have no problem talking to you directly, Christian.”

There was an uncomfortable pause. Christian nodded to himself, as if he’d made his mind up about something. “You do realize Alicia is borderline? She won’t respond to therapy. You’re wasting your time.”

“How do you know she’s borderline if she can’t talk?”

“Won’t talk.”

“You think she’s faking?”

“Yes, as a matter of fact, I do.”

“If she’s faking, then how can she be borderline?”

Christian looked irritated.

Indira interrupted before he could reply. “With all due respect, I don’t feel umbrella terms like borderline are particularly helpful. They don’t tell us anything very useful at all.” She glanced at Christian. “This is a subject Christian and I disagree on frequently.”

“And how do you feel about Alicia?” I asked her.

Indira pondered the question for a moment. “I find myself feeling very maternal towards her. That’s my countertransference, that’s what she brings out in me—I feel she needs someone to take care of her.” Indira smiled at me. “And now she has someone. She has you.”

Christian laughed that annoying laugh of his. “Forgive me for being so dense, but how can Alicia benefit from therapy if she doesn’t talk?”

“Therapy isn’t just about talking,” Indira said. “It’s about providing a safe space—a containing environment. Most communication is nonverbal, as I’m sure you know.”

Christian rolled his eyes at me. “Good luck, mate. You’ll need it.”





CHAPTER FOUR

“HELLO, ALICIA,” I said.

Only a few days had passed since her medication had been lowered, but the difference in Alicia was already apparent. She seemed more fluid in her movements. Her eyes were clearer. The foggy gaze had gone. She seemed like a different person.

She stood at the door with Yuri and hesitated. She stared at me, as if seeing me clearly for the first time, taking me in, sizing me up. I wondered what she was concluding. Evidently she judged it safe to proceed and walked inside. Without being asked, she sat down.

I nodded at Yuri to go. He deliberated for a second, then shut the door behind him.

I sat opposite Alicia. There was silence for a moment. Just the restless sound of the rain outside, raindrops drumming against the window. Eventually I spoke.

“How are you feeling?”

No response. Alicia stared at me. Eyes like lamps, unblinking.

I opened my mouth and closed it again. I was determined to resist the urge to fill the void by talking. Instead, by remaining silent and just sitting there, I hoped to communicate something else, something nonverbal: that it was okay for us to sit together like this, that I wouldn’t hurt her, that she could trust me. To have any success at getting Alicia to talk, I needed to win her trust. And this would take time—nothing would be accomplished overnight. It would move slowly, like a glacier, but it would move.

As we sat there in silence, my head started to throb at the temples. The beginnings of a headache. A telltale symptom. I thought of Ruth, who used to say, “In order to be a good therapist, you must be receptive to your patients’ feelings—but you must not hold on to them—they are not yours—they do not belong to you.” In other words, this thump, thump, thumping in my head wasn’t my pain; it belonged to Alicia. And this sudden wave of sadness—this desire to die, die, die—did not belong to me either. It was hers, all hers. I sat there, feeling it for her, my head pounding, my stomach churning, for what seemed like hours. Eventually, the fifty minutes were up.