I go to see my psychiatrist. The appointment’s at three-thirty. It’ll be done at four. Denise will pick me up on her way home from work, so I only need to get to the clinic on my own. I ride the bus and wait at the transit center for my connection. A man with black and gray hair pulled back into a ponytail bums a smoke and a light. He sings a song and dances. He tries to tell me about his daughters, but he doesn’t remember their names. I doubt that he has any daughters. I think he’s high on something and is hanging around the bus stop begging money and cigarettes from people like me.
My bus comes and I take a seat in the back. There are only three other people: a woman with two kids. They talk and laugh and climb all over the seats. The woman tries to get them to settle down, but they’re too young to sit still for long. They play with their toys and squeal. I can’t handle the squealing. I don’t mind them having fun, but the shrieking gets under my skin. I don’t have to put up with it long though. They get off at the airport and I have the bus to myself for a while. My legs bounce and tremble. I’m in a hurry and anxious about my appointment. I need to talk to my shrink about the voices and suicidal thoughts and I’m afraid he’s going to want to put me in the hospital again. I can’t stand the hospital. I can’t smoke in the hospital. I can’t write or take naps the way I do at home.
The hospital is all about schedules. Everyone goes to group. Everyone eats when they bring the food. Everyone sleeps when the lights go out. I hate the groups. They don’t apply to me anymore. I’ve been to them so many times that they’ve started to repeat themselves. I know all about stress reduction and relaxation. I know about crisis plans, even if I don’t have one anymore. I don’t want to hear about depression and suicidal thoughts. I don’t want to hear about coping skills. I do fine on my own. I don’t need that much structure in my life. I like a little play.
Right now, though, I have too much play. All I have are the few chores I need to do daily to keep my apartment clean. All I have is writing and walking. I sleep a lot, because I’m tired of sitting in my chair waiting for something to happen. I have no one to talk to. My hallucinations get the best of me sometimes. They run my life and I need to tell my shrink about them so we can adjust my meds to deal with them. But I’m afraid.
The bus comes up to my stop and I get off. I have a half mile hike to my doctor’s clinic. I light a cigarette and cross through traffic. I’m going to be a little late. I hate being late. I was late last month too. The busses aren’t keeping to their schedules very well, so I walk at a good clip past the shopping mall and the construction site. I check in at the front desk and find a seat in the waiting area. There are kids here too, waiting for their turn with their own doctors. I read a National Geographic article about Mayan ruins. It’s boring, but better than just sitting there waiting.
My shrink comes in and calls my name. I follow him down the hall to his office. He asks how I’m doing. I say that I’m fine. He holds the door for me. I take the chair next to his desk and look at all of his diplomas on the walls. There are six or seven of them. This man is way over educated. He looks through his notes from my last visit and asks how the intrusive thoughts are going. I tell him that some days are better than others, that the real problem is the voices. I can’t stand the constant noise. He asks what the voices are saying. Sometimes I hear my name. Sometimes I get a fragment or a command. Sometimes they tell me that I need to die. He asks if I’m thinking about suicide. Sometimes, I say. But I don’t have a plan. I just think about it.
He asks how my mood is. Pretty low lately. I’m having a hard time adjusting to life without Denise. He asks how often I see her. Once a week right now, but that’ll be over soon. Water polo season is almost done and we won’t have any reason to be at the same place at the same time. I worry that I won’t get to see her at all. I don’t want to be completely cut off. He asks if there’s any hope of the two of us getting back together. I say I hope so. I say I’m working on my habits and behaviors. I say I hope this is just a break. He wishes me luck with that.
He says that we need to up the Zyprexa. It should help with the voices and the anxiety both. It should help me sleep at night. I don’t tell him that I’ve been taking it during the day to help me nap. I don’t tell him that I’m sleeping thirteen, fourteen hours a day. He asks if I have access to a gun. No, I say. Good. He says I need to call the mental health emergency line when things get too rough to handle. I tell him that I have, but there’s not a lot they can do. They always suggest I go to the hospital. I say there’s got to be a way to handle this without locking me up so much of the time. He says that the hospital is sometimes the best option. I know, but I hate it. He says I have to be safe. I do my best. I haven’t been cutting or anything, even though it’s all I think about some days. He says that’s good.
Time’s up. It’s a short appointment, just a follow up. He says to come back in a month and walks me back up the hall to reception. I make an appointment and go down stairs. Denise is waiting for me in the parking lot. I get in and we take off. She asks how it went. I tell her about the Zyprexa increase. She asks if it’s helping. Mostly, I say. I have good days and bad days. She nods. There’s nothing much left to say. I don’t want to tell her about the suicidal thoughts. I don’t want to worry her or make her think less of me. I want to her to think I’m coping well without her. She needs to know that I can stand on my own before she’ll let me back.

