what heâd said, and found it unlikely that he could know such a thing. âDoes he?â
Matt nodded, his face a little sad, but he made an effort to smile nonetheless. âOf course,â he responded, turning to go. âYouâre all he has left.â
Chapter 6
I lay awake that night thinking about Jason. Mattâs wordsâ He believes in you . . . Youâre all he has left âhad struck a chord with me, and I kept mulling them over in my mind. It was an odd thing for him to say. His role at the hospital would not grant him access to the background information of our patients. And yet, human relationships trump legal and professional boundaries all the time. If he was dating a nurse whoâd been there during Jasonâs intake, or even knew someone who worked at Jasonâs prior institution, there was a possibility that Matt knew more than I did about my own patient. That bothered me, but his words weighed on me for another reason as well. Itâs the nature of psychiatryâthe role weâve chosen to play. So often we are the only tangible thing anchoring our patients to their delicate perch above the abyss. It keeps me awake at night, contemplating that relationship, and when I close my eyes in the dark, edging carefully toward the elusive precipice of sleep, I can sometimes feel them slipping from my graspâall of them. I startle awake, reaching out for a better hold, but find myself alone in the room with nothing but black and empty space above me.
I hadnât commented on it today during our session, but itturns out that Jason and I grew up in the same communityâColumbia, Marylandâalthough I canât recall having ever run into him in those earlier years. It didnât surprise me. Iâve made a concerted effort to distance myself from that time in my life, as if thereâs still a danger of sliding backward into that lanky prepubescent body and the years of emotional abandonment that have prevented me, even now, from mustering the courage and vulnerability to maintain an intimate personal relationship.
I was a child of distractible parents who occupied their thoughts with practical matters: their jobs and daily errands, relationships with friends and acquaintances, the maintenance of a house that was more a physical structure than a place of refuge, the anxiety of never having enough money to feel truly secure. I remember watching them as we sat around our kitchen table at dinner, my fatherâs eyes often distant with worry, my motherâs hands straightening her silverware over and over again, as if it might have moved when she wasnât looking. My brother and I used to horse around, make faces at each other over the evening meal, converse in our Donald Duck voices until one of us inevitably knocked something over or snorted milk out our nose. We did it because we were children and thatâs what children do, but there was also a certain desperation in that interplay, our eyes darting in the direction of our parentsâ faces as we tried to get them to laugh or smile and shake their heads, their attention returning to the family in front of them. I remember that I had the foolish idea that we could somehow change themâawaken themâand one of my lifeâs greatest disappointments was discovering that we could not.
The worst kind of loneliness, I think, is to be in the presence of those you love and have them treat you like you arenât there.To this day, when I picture the face of my mother, it is always in profile, her eyes studying something in the room that is not me. There was so much worry, so much preoccupation in that expression, and because she never talked about the things that troubled her, I was left to imagine the worst. âWhatâs wrong, Momma?â I would ask, but she wouldnât answer, or would respond with, âHmmm?ââlike Iâd just disturbed her from a light snooze. Sometimes, if