![]() ![]() She’d been prone to it her entire life, but still, damn. I couldn’t be a hundred percent sure, but I thought I’d also sensed the telltale progression of airy metallic pings that would be the sign that my first true love was coming down with a little valve clatter. The motor of the old 911 purred only inches behind my ears, its tenor pulse as familiar to me as the treble of my wife’s laugh. Usually, early in therapy, that wouldn’t be important. All I knew back then was that there were pieces that felt incomplete. It turned out that he didn’t have time and that I never appreciated how crucial the answer to the question of why he was in psychotherapy was going to turn out to be. As days pass, untruths become unimportant or untruths become truths of a different species. “TWT”? That’s my shorthand for time-will-tell. The establish-trust part of my treatment plan was pro forma. Anyone who has been doing healthcare for more than a week knows the feeling, the nagging sense that something a patient is saying doesn’t ring quite true. Why all the doubt? Because I’m no clinical genius. That first day I was ruling out Atypical Depression and Adjustment Disorder with Anxiety. What was I treating him for? I didn’t have an answer to the diagnostic question until the last time I saw him. I ended up treating him-the “married white male in no apparent distress”-for three weeks. I scribbled those notes after our first session. Trust? Rx Plan: Short term? Confront resistance, est. Anxiety? R/O: 296.82/309.24 Impression: Pt is smart, elusive, sarcastic. Progress Notes-1st session Pt is a 44 yr old mwm in nad c/ only vague complaints. DUTTON and the "D" design are trademarks belonging to Penguin Putnam Inc. World Wide Web site address is ISBN: 0-5259-6362-1 A DUTTON BOOK® DUTTON Books first published by Dutton Publishing Group, a member of Penguin Putnam Inc., 375 Hudson Street, New York, New York 10014. For information address: The Dutton Publishing Group, a division of Penguin Putnam Inc., 375 Hudson Street, New York, New York 10014. Making or distributing electronic copies of this book constitutes copyright infringement and could subject the infringer to criminal and civil liability. ![]() This book may not be reproduced in whole or part, by mimeograph or any other means, without permission. Copyright © 2006 by The Dutton Publishing Group. Kill Me A DUTTON Book / published by arrangement with the author All rights reserved. Names, characters, places, and incidents are either the product of the author's imagination or are used fictitiously, and any resemblance to actual persons, living or dead, business establishments, events or locales is entirely coincidental. ALSO BY STEPHEN WHITE MISSING PERSONS BLINDED THE BEST REVENGE WARNING SIGNS THE PROGRAM COLD CASE MANNER OF DEATH CRITICAL CONDITIONS REMOTE CONTROL HARM’S WAY HIGHER AUTHORITY PRIVATE PRACTICES PRIVILEGED INFORMATION
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