The partner who books an appointment for this rarely books it for herself. She comes in wanting strategies for him. Better things to say, ways to get him out of the flat, some approach she has not tried yet.
The person who comes in about sleep has usually already done the homework. She’s read the articles. She’s been told for years that sleep is a discipline problem, a phone problem, a caffeine problem.
The person who comes in flattened by August has usually decided it isn’t a real problem. Everyone lives here. Everyone manages. She’s been telling herself for three summers that the exhaustion is a character issue and not a physiological one.
The person who comes in exhausted and flat has usually braced herself for a lecture about the gym. She’s been told for years that she needs to move more, that discipline is the missing ingredient, that everyone else manages it somehow.
The person who books an appointment about their antidepressants has usually been taking them for a while. Two years, in one common version. The doctor explained it simply at the time.
The person sitting across from you has already had the tests. Bloods came back clean. The ECG was normal. The doctor was kind about it and said the word stress, and she left the surgery feeling quietly dismissed
The person asking about this has usually already done the obvious things. Night mode enabled permanently. Amber-tinted glasses bought in November and worn most evenings. A warm bulb in the bedside lamp.
The person who asks about boundaries is almost never the difficult one. She is the reliable one. The person who covers the shift, hosts the dinner, stays late, answers the message at eleven at night.
The person who finally raises this has usually been dealing with it for months and has stopped mentioning it to anyone. Falling asleep is not the problem. He goes down easily at eleven, sometimes before the end of an episode.
Cortisol is a steroid hormone made by the adrenal glands, and you would be dead without it. It regulates blood sugar and metabolism. It controls inflammation, which is why synthetic versions of it are prescribed for asthma and arthritis.