9
Dr. Mark Ahriman’s waiting room featured two pairs of Ruhlman-style lacquered lacewood chairs with black leather seats. The floor was black granite, as were the two end tables, each of which held fanned copies of
Two Art Deco paintings, nighttime cityscapes reminiscent of some early work by Georgia O’Keeffe, were the only art.
The high-style decor was also surprisingly serene. As always, Susan was visibly relieved the moment she crossed the threshold from the fourteenth-floor corridor. For the first time since leaving her apartment, she didn’t need to lean on Martie. Her posture improved. She raised her head, pushed back the raincoat hood, and took long breaths, as if she’d broken through the surface of a cold, deep pond.
Curiously, Martie, too, felt a measure of relief. Her floating anxiety, which didn’t seem to be anchored to any particular source, abated somewhat as she closed the waiting-room door behind them.
The doctor’s secretary, Jennifer, could be seen through the receptionist’s window. Sitting at a desk, talking on the phone, she waved.
An inner door opened soundlessly. As if telepathically informed of his patient’s arrival, Dr. Ahriman entered from the equally well-furnished chamber in which he conducted therapy sessions. Impeccably dressed in a dark gray Vestimenta suit, as stylish as his offices, he moved with the easy grace characteristic of professional athletes.
He was forty-something, tall, well-tanned, with salt-and-pepper hair, as handsome as the photographs on the dust jackets of his best-selling books about psychology. Though his hazel eyes were unusually direct, his stare wasn’t invasive or challenging, not clinical — but warm and reassuring. Dr. Ahriman looked nothing like Martie’s father; however, he shared Smilin’ Bob’s affability, genuine interest in people, and relaxed self-confidence. To her, he had a fatherly air.
Rather than reinforce Susan’s agoraphobia by solicitously asking how she had handled the trip from her apartment, he spoke eloquently about the beauty of the storm, as though the soggy morning were as luminous as a painting by Renoir. As he described the pleasures of a walk in the rain, the chill and the damp sounded as soul- soothing as a sunny day at the beach.
By the time Susan stripped out of her raincoat and handed it to Martie, she was smiling. All the anxiety was gone from her face, if not entirely from her eyes. As she left the waiting room for Dr. Ahriman’s inner office, she no longer moved like an old woman, but like a young girl, apparently unintimidated by the expansive view of the coastline that awaited her from his fourteenth-floor windows.
As always, Martie was impressed by the instant soothing effect that the doctor had on Susan, and she almost decided against sharing her concern with him. But then, before he followed Susan into the office, Martie asked if she might have a word with him.
To Susan, he said, “I’ll be right with you,” and then shut his office door.
Moving to the center of the waiting room with Ahriman, keeping her voice low, Martie said, “I’m worried about her, Doctor.”
His smile was as comforting as hot tea, sugared short-bread, and a fireside armchair. “She’s doing well, Mrs. Rhodes. I couldn’t be more pleased.”
“Isn’t there medication you could give her? I was reading that anxiety medication—”
“In her case, anxiety medication would be a very grave mistake. Drugs aren’t always the answer, Mrs. Rhodes. Believe me, if they would help her, I’d write the prescription in a minute.”
“But she’s been like this for sixteen months.”
He cocked his head and regarded her almost as if he suspected that she was teasing him. “Have you really seen no change in her, especially over the last few months?”
“Oh, yes. Plenty. And it seems to me…Well, I’m no doctor, no therapist, but lately Susan seems to be worse. A lot worse.”
“You’re right. She’s getting worse, but that’s not a bad sign.”
Baffled, Martie said, “It’s not?”
Sensing the depth of Martie’s distress, perhaps intuitively aware that her anxiety arose not entirely from her concern about her friend, Dr. Ahriman guided her to a chair. He settled into the seat beside her.
“Agoraphobia,” he explained, “is almost always a sudden-onset condition, rarely gradual. The intensity of the fear is as severe during the first panic attack as during the hundredth. So when there’s a change in the intensity, it often indicates the patient is on the edge of a breakthrough.”
“Even if the fear gets worse?”
“Especially when it gets worse.” Ahriman hesitated. “I’m sure you realize I can’t violate Susan’s privacy by discussing the details of her specific case. But in general the agoraphobic often uses his or her fear as a refuge from the world, as a way to escape engagement with other people or to avoid dealing with particularly traumatic personal experiences. There’s a perverse comfort in the isolation—”
“But Susan hates being so fearful, trapped in that apartment.”
He nodded. “Her despair is deep and genuine. However, her need for isolation is even greater than her anguish over the limitations imposed by her phobia.”
Martie
“If the patient begins to understand
The doctor’s explanation made sense to Martie, yet she couldn’t easily accept the idea that an ever steeper decline would inevitably lead to a cure. Last year, her father’s battle with cancer progressed along a relentless downward spiral, and at the bottom there had been no joyful breakthrough, only death. Of course a psychological illness could not be compared to a physical disease. Nevertheless…
“Did I set your mind at rest, Mrs. Rhodes?” A twinkle of humor enlivened his eyes. “Or do you think I’m full of psychobabble?”
His charm won her over. The impressive array of diplomas in his office, his reputation as the finest specialist in phobic therapy in California and perhaps in the nation, and his keen mind were no more important to building patient trust than was his bedside manner.
Martie smiled and shook her head. “No. The only babble is coming from me. I guess…I feel like I’ve failed her somehow.”
“No, no, no.” He placed a hand reassuringly on her shoulder. “Mrs. Rhodes, I can’t stress strongly enough how important you are to Susan’s recovery. Your commitment to her means more than anything I can do. You must always feel comfortable about expressing your worries to me. Your concern for her is the rock on which she stands.”
Martie’s voice thickened. “We’ve been friends since we were kids, most of our lives. I love her so much. I couldn’t love her more if she were my sister.”
“That’s what I mean. Love can accomplish more than therapy, Mrs. Rhodes. Not every patient has someone like you. Susan is so very lucky in that regard.”
Martie’s vision blurred. “She seems so lost,” she said softly.
His hand tightened slightly on her shoulder. “She’s finding her way. Believe me, she is.”
She did believe him. Indeed, he had comforted her so much that she almost mentioned her own peculiar rushes of anxiety this morning: her shadow, the mirror, the mezzaluna, the point and the serrated edge of the car key….
In the inner office, Susan was waiting for her session. This time was hers, not Martie’s.
“Is there something else?” Dr. Ahriman asked.
“No. I’m all right now,” she said, getting to her feet. “Thank you. Thank you so much, Doctor.”