You are sitting in a chair that is slightly too soft for a clinical setting, trying to remember the exact wording of a sentence that was spoken to you in a completely different postcode.
Your therapist, a well-meaning professional with a notepad and a focused expression, has just asked how you’re adjusting to the new medication. They want to know if the “fog” has lifted or if the “jitters” have intensified. You look at the ceiling, tracing a hairline fracture in the plaster, and try to summon the ghost of your psychiatrist’s voice.
Did he say to expect a spike in anxiety for the first , or was that the warning for the previous prescription? Was it 10mg or 20mg that was supposed to be the “sweet spot”?
You offer a shrug and a half-remembered paraphrase. “He said it might be rocky for a bit,” you say, feeling the inadequacy of the words as they leave your mouth. The session proceeds on the basis of this fuzzy reconstruction.
This is the central, quiet absurdity of modern mental health care. When therapy, medication, and assessment live in three different buildings-or