hours earlier than usualâwas a common symptom of depression.
âOK. Itâs just itâs a bit hard to get to sleep.â Teresa bit her lip. âI lie there and think.â
âIs anything particular bothering you?â Rachel asked gently.
âNo.â Teresa sighed and her shoulders sagged. âYes.â
âTell me about it. Maybe I can help,â Rachel offered.
Teresa looked torn between wanting to confide and afraid that it would make things worse. Rachel had a fair idea why her patient was worried. âRemember, whatever you tell me is confidential. Iâm your doctor. Iâm not going to gossip about you in the playground. Nobody in the village will hear a word from me,â she said quietly. Teresaâs face cleared, and Rachel knew sheâd guessed correctly. She waited, knowing that it was best to let the patient set the pace.
âItâs my husband,â Teresa blurted out. âI think heâs having an affair.â
Ouch. Just what Rachel had half been thinking about Oliver. âWhat makes you think that?â
âHeâs been distant with me lately. And heâs working late every night. And he snaps at me and the kids. Then he can be so loving... I thought maybe he was worried about something at work. But then I read this article, and I recognised the signs.â
You and me both, Rachel thought grimly. I bet you read the same article I did. âJust because you did a quiz in a magazine and the results werenât very nice, it doesnât mean Dickâs definitely having an affair,â she reassured Teresa, though she was sure her words sounded hollow. âYouâd be much better off talking to him about your worries. Thelonger you leave it, the more anxious youâre going to get, the worse youâll feel and the more likely you are to end up having a hell of a row instead of discussing it calmly.â
âSo youâre not going to give me antidepressants?â
âAntidepressants can be useful in cases of clinical depressionâthey change the chemicals in your brain,â Rachel said. âBut I think in your case, Teresa, theyâre not going to help. Youâre upset for a reasonâa good reasonâand the way to help yourself feel better again is to tackle the cause of what youâre worrying about. If you donât want to talk to Dick about it on your own, talking to a counsellorâs a good start. Itâll help you find some common ground with him.â
âI donât know if heâll agree to go.â
Mmm. Rachel could dish out the advice, but she couldnât take it herself. If she asked Oliver to go to marriage counselling with her, heâd probably look at her as if sheâd grown three heads. âThen why donât you get your mum to have the kids for the night, sit down with Dick and talk things through with him? If you tell him how youâre feeling and listen to how heâs feeling, too, you might be able to see a way through it together. It might be that heâs got problems at work, he doesnât want to worry you about them, and he doesnât realise how heâs being at home.â
âOr he might be having an affair,â Teresa said glumly.
âIf he is, then taking antidepressants isnât going to change anything. You need to talk to each other,â Rachel said gently. She looked up the numbers for the nearest counsellors on her computer, wrote three of them down and handed the paper to Teresa. âBefore you talk to him, you could have a word with one of these. They can give you some tips to help you discuss things without making it a confrontation.â
âI suppose.â
Rachel reached over and squeezed Teresaâs hand. âYou might be getting yourself worked up about nothing. Give ita try. You can always come back and see me again if it doesnât help and youâre still feeling low.â
âWhat about St