People often associate depression with one who has lost all will to live, who goes on living everyday life with a deep furrowed frown and who walks by parks shouting and yelling on all the children for creating a ruckus. Even Vyom was amongst the majority who have this line of thought, until the day he was released from the emergency ward of the multispecialty hospital near his home. The next few days were spent running from one specialist doctor to another in a bid to ascertain what was wrong with his all but 30 years-old body. After spending long hours in the waiting rooms of a cardiologist, a neurologist and an endocrinologist, all his appointments ran for almost the same duration of five minutes in which different medical practitioners told him the same thing- that there was nothing wrong with his heart, nor his neurological linkages, nor his sugar levels and thyroid glands. His final appointment was scheduled for 7:30 PM with Dr. Gargoo (MBBS, MRCPsych), psychiatrist, who assured Vyom that what he experienced the other night at his home were the classic symptoms of a non-trigger-induced panic attack, often a symptom of a bigger condition of anxiety and/or depression.
Day
01:
Vyom lay
sleeping on his bed, his hair a little damp and the bedsheet a light grey in
colour around his body, as if outlining a dead body at a crime scene, on the
otherwise white cotton sheet. It was a surprisingly hot and sweltering morning
with the sun firing down with all its might, the clock on his side table
reading 8:36 AM. Still groggy with the aftereffects of the SOS medicine Dr.
Gargoo had prescribed, Vyom left the bed, all the joints in his body creaking
like the wooden flooring of an abandoned log cabin. Rising slowly from the bed
stretching his arms wide, he stepped inside the bathroom. Feeling a lot fresher
afterward, he put the coffee pot on the burner and fetched the day’s newspaper
lying on the floor outside his apartment. It was a modest kitchen in a sparsely
furnished home, which almost gave an impression that its occupants were on the process
of moving out. The living room had one sofa which was facing a bare wall. No
coffee table, no side table and the floor bare. It looked like someone gave up
on the idea of setting up the room mid-way into the process. There was a big
bookshelf on one of the walls, overflowing with books and in dire need of
dusting. A writing desk adjacent to the bookshelf, contrastingly clean and
organised, with beautifully stacked writing pads in one corner beside a small
potted plant and a pen stand next to it. The chair looked like it was
originally bought to be placed with the dining table but found its way to the
desk instead. The dining table was thus paired with a high stool, on which Vyom
was perched uncomfortably, flipping the pages idly- only glancing through the
headlines.
Some things
heard in our early childhood get so deeply ingrained in our minds, that we keep
following it unknowingly, semi-consciously, without ever stopping to ask
ourselves why we are still doing it. Reading the morning newspaper before
starting his day was one such activity for Vyom. “There should always be a
routine you follow as soon as you wake up,” his father used to tell him as he
was growing up, “brush your teeth, drink your milk and read about world
events.” He had replaced the glass of milk with a cup of coffee, but the rest
of it had remained unchanged. He would read the paper everyday although he knew
about all the happenings when he had read about them in real-time on X or some
other app on his phone. He tossed the paper aside as the bell rang and opened
the door for Subhas, his cook cum cleaner cum cheerleader. “How are the
mornings so hot already?” he complained while entering, carrying bags full of
fruits and vegetables, “I’ll cut some fruits and cook breakfast; you please
take a shower. This heat is unbearable.”
**
Vyom was 15
minutes early for his first appointment with Ms. Paridhi Shankar, the therapist
Dr. Gargoo had recommended. He walked from the parking lot of the small
building located right around the corner from his favourite café. The lady
behind the reception asked him to sit in the waiting area. The walls were
decorated with drawings and paintings of different sizes and colours, all by
kids. One corner of the wall had the certificates and accolades hung which Ms.
Shankar had received over her career of 11 years as a therapist. ‘Certified
Hypnotist’, one such certificate read and Vyom was immediately picturing her
with a crystal ball in front of her and a pocket watch swinging like a pendulum
from one of her hands. He thought of getting up and leaving just when the door
to Ms. Shankar’s room swung open and a girl walked out smiling and waving back
to Ms. Shankar. “Vyom?” asked Ms. Shankar as she saw him standing near the wall
of fame, “please give me 2 minutes” she said after he nodded.
Ms. Shankar
waved him inside as she crossed him where he was sitting on the chair. It was a
small windowless room, but cozy and comfortable. She had a big green armchair
laid out in the middle of the room for herself, on which she seemed to look
even smaller than her already small frame. The chair looked very relaxing with
a tall back and round, soft armrests. There was a small couch right opposite
her which Vyom presumed was for him and he took one corner and settled into it.
“Too upright” he thought to himself but said nothing.
“Hi. My name
is Paridhi and I am a psychologist. I did most of my studying in Bombay and
London. I have been doing therapy sessions since the last eleven years. Dr.
Gargoo called me to update about your medical condition and to give a bit of
history and his own diagnosis. I know Dr. Gargoo since a long time and value
his opinions very highly. Now, why don’t you tell me about yourself and why you
think you are here and your expectations from me and our session?” said Ms.
Shankar in a sort of a memorised performance.
“Hi. I am
Vyom. It is a pleasure to meet you.” I started hesitatingly, “Honestly, I do
not know what to expect from these sessions. The only time I have seen people
visit a shrink, uh sorry I said shrink. I shouldn’t have said that.”
“Why not? Do
you consider it abusive?”
“Well, I
should have asked first if I can call you that or not?”
“Do you
always feel such need for approval?”
“Never
thought about it that way, honestly.”
“Ok. You can
call me a shrink if that is what comes to your mind as the first word”, Ms.
Shankar replied while she started writing something down on the clip board that
was resting on her lap since Vyom walked in.
“No. I mean,
Ok. My only exposure to the profession has been through movies or books, that
too mostly from the Western countries. When I tried to find your address on
Google Maps, I was surprised to see so many other psychological clinics nearby.
I never thought about mental health as a problem that infests my little world
as well. I feel like a frog living in a well when I am saying it out aloud. So,
I do not really know what to expect, maybe some big revelation of how some
childhood trauma is responsible for how I am feeling and what I am experiencing
right now.” he said, overcoming the embarrassment of calling her a shrink.
“Understood.
There might not be a big eureka moment where everything can be pinned down to
one instance or experience. Saying that, I also want to explain my method of
approaching the problems. I follow Cognitive Behavioural Therapy, where we try
to understand your thinking pattern and try to modify it in a way which allows
you an opportunity to lessen your anxiety. We will not be focusing much on
memories and possible traumatic events which otherwise do not directly affect
you presently.
“If you were
to ask me what I am expecting from these sessions for you, it is that we can
help you find triggers and how to handle them in a healthy way. After two
weeks, that is four sessions, I will update Dr. Gargoo before your scheduled
appointment with him. So, what do you feel about this?” she asked in a matter-of-fact
tone.
The session
went on for another 43 minutes, in total, 55 minutes to the clock. Vyom walked
out feeling mentally battered and bruised. He lit a cigarette and walked to the
café nearby to clear his head.
Day 04:
“You know, I
thought a lot about what you asked me the other day. (Life has become a drab, a
drag, a windless-day flag.) There is nothing that excites me nearly as much as
the thought of going back home and being alone. (And in that loneliness, I have
had a chance to peek inside the deep cracks of the dark well of despair.) When
at home, there are only one of two things I am doing, writing or reading. I do
not remember the last time I saw a movie or television. First, I stopped
calling people, and now I have even stopped receiving their calls.” Vyom
replied to Ms. Shankar at his second session with her. She had asked him to
ponder over what he thinks might be the reason for his symptoms of depression
in their last (first?) session. Such level of introspection might be injurious
to health (further to the already deteriorating health), she hadn’t mentioned. He
felt like he had occupied a space inside the deep cracks of the dark well of
despair he occasionally liked to voyeur upon.
“Waking up
early in the morning seems an impossibility during the sleepless wee hours of
night and yet I find myself woken up way before the agreed time the alarm is
set for. I have been working-from-home since I started writing professionally,
before it was the new normal. I spend 4-6 hours everyday typing away at
my keyboard in different corners of my small one-bedroom apartment.
“Occasionally,
I head out to a café nearby, in fact the one right at the corner from here,
Papa Americano. I love their coffee and bagels. You should try it sometime.”
“I do like
their coffee. Quite a kick it gives me.”
“Finding
good coffee is the closest thing to nirvana I have felt. Haha” he could see no
reaction on Ms. Shankar’s face in response to his very funny joke.
“Have you
tried mindfulness or any other form of meditation, Vyom?” she asked him as a
response to his joke. Way to ruin a punchline, Ms. Shankar.
“Yes, I
tried mindfulness through an app during the lockdown. They had made the
membership free during the starting. But then I never actually bought the
membership after the complimentary trial period ended. Hence, I stopped doing
it. Plus, I don’t think it was really working. I would just end up getting lost
in my train of thoughts and lose all focus. I think I am incapable of
meditating.”
“There is no
wrong or right way to meditate. It is an experience where everyone will feel
differently. It is a unique journey into the depths of your unconscious mind.”
He noted it
down on the pad he was carrying. It seemed important, deep, meaningful. He kept
nodding till he finished writing it. She was staring at him the entire time,
the weight of her eyes resting on his hands, making it difficult to write.
“Have you
been feeling anxious or overwhelmed in the past few days?”
“Ya. And
mostly because of all the questions I have been asking myself since our last
session.”
“So, the
medicines are not working, then?”
“They are
only good to make me nauseous and sleepy. I find myself yawning the entire
day.”
“That is
quite a common side-effect because the hormones being released in your brain is
asking it to relax and hence causing a series of yawns even when you are not
sleepy. Maybe increasing the dosage will help.”
“No. Please.
I cannot write already; stronger medicines will only make me more useless.”
“You can
discuss your concerns with Dr. Gargoo but I assure you there will be no such
impact on your everyday life.”
So far,
therapy felt more like a punishment and less like a treatment. Hopefully, this
was the prick of the needle he was feeling before the medicine is pushed inside
and starts healing the wound.
After the
session got over, he again found himself walking half-mindedly to the corner
café. Papa Americano – a place American only in name, not in style, offerings,
or even gun violence. “Hello, welcome to Papa Americano. Good evening, sir. How
are you today?” greeted the smiling barista, visibly happy seeing him again.
“Good evening. I am great. How are you?” he smiled back at the omnipresent face
of the café.
He nestled himself
in a corner with his ‘thought journal’ in hand, battling with himself to focus
on what he was thinking/feeling. It is amazing how your body refuses to give
signs of its existence as soon as you put it under the microscope of
introspection. The brain is incapable of just existing. It has to keep itself
occupied. It keeps thinking about the uncertain future or the unalterable past,
keeping its motor running; like the small exhaust fan at the corner of a public
toilet, its presence totally meaningless, yet essential to give a false hope to
the visitors. Yet, when you try to follow the workings of the brain, on what it
is thinking about currently, it draws a blank. His attempt at focussing on his
thoughts was disrupted by the aroma of a steaming cup of coffee. He immediately
took the bait and shut the journal, shifting his entire focus on to the cup.
Day
03:
Vyom was
sitting at his desk, writing the script of a yet unnamed movie. It was a
horror-thriller, the most boring genre to write on for Vyom, but it was paying
rather well, and so he wrote. He glanced at his clock and saw that it was
almost 9 PM. He quickly finished writing the gruesome details of the victim’s
murder and grabbed his wallet and phone and booked a cab to go see Rehaan. They
were meeting at their usual hangout spot, a bar by the name of Damp Kitty, a
pun so bad that they had to visit it, and it instantly became their favourite
place for the great retro rock music they played and the delectable kebabs they
served. Rehaan was his childhood friend – his only friend. As Vyom entered the
bar, he saw Rehaan laughing animatedly with the barkeep. Rehaan slapped Vyom on
his back before hugging him and told the barkeep how Vyom fought his way back
from the clutches of death couple of days back. The barkeep now eyeing Vyom
with sympathy as well as indifference; like a lizard with two independent
eyeballs, one not knowing what the other is revealing. A waiter guided the two
friends to the table chosen for them and noted down their order. Rehaan could
hardly wait for the server to put the plates down and leave them in privacy.
“How did the
therapy session go, bro?” Rehaan asked as soon as they were alone and free.
“It was…
weird... but good… but very uncomfortable” Vyom replied, “it felt like I was
being judged professionally.”
“You need a
holiday, not a quack pretending to be a doctor.”
“Haha. I
knew it. I just knew it. You had to be condescending about therapy as well. Of
course!”
“Bro, trust
me. Go on a backpack trip to Europe. Smoke some pot in Amsterdam, drink some
Belgian beer and fuck some German bimbo and you will be back to being yourself
in 15 days’ time.”
“Dr. Gargoo
has asked me not to smoke marijuana till I am on medication.”
“WTF! Who
the fuck is he? Please do not do this to yourself. You will be writing sober?
Do these doctors even know you are a writer? Do they expect athletes to not go
to the gym? Then how can you write without smoking? You have to get out of all
this mess. These people get you hooked on to these medicines and trap you for
life.”
“Dude, you
literally explained our addiction to pot.”
“Are you
trusting someone you’ve met once, over me?”
The
pointless conversation continued till 3 drinks were downed and then it took a
darker turn.
“What really
happened before you thought you were dying?” asked Rehaan, with concern making
his eyes watery and hazy. “Were you stressed about something?”
“Bhai,
I was not stressed in particular about anything. I was writing at home. I had
to finish editing the story before sending it out the next morning. I got a
call from mom around 7-7:30 PM. We were just discussing work, my non-existent
love life and her hormonal problems with menopause. Then she disconnected in a
hurry. I could hear dad calling out her name. She is just so weird. She will
not even tell him that she was talking to me. She will just lie. He does not just
not love me; he stops my mom from loving me too. There is no one I have seen
who is more self-centred and egocentric.” Vyom replied with a lot of hiccups
and pauses.
“And that is
when you started feeling uneasy because you were thinking all this?”
“No man. I did
not even think about any of it that time. I just went back to work. For almost
2 hours I was just working and then I started feeling hungry. I went to the
kitchen to cook and when I took out the pan, my hand was shaking. So, I kept
the pan down and drank a glass of water and tried to calm myself down. Then my
shoulder started to pain; like a sharp shooting pain, originating right at my
deltoid and travelling all the way till my fingers. Then my back started to
feel getting cramped and my chest also started cramping. I took a Disprin as an
SOS and called you. You know the rest.” Vyom said, his hands trembling,
forehead damp with sweat, either from reliving the horrid experience or the
after effects of all the alcohol in his system.
Day 13:
Vyom was
early for his appointment, as usual. He would rather wait for ten minutes than
be late for a meeting. Ms. Shankar was having tea at the waiting area when he
entered her office. She had a big smile on her face when she saw Vyom. The smile
was so unexpected that Vyom stopped on his track, looked behind him to double
check if he was the real target of that genuine smile. When he was sure he was
not a collateral damage of a stray smile, he smiled back at Ms. Shankar and
apologised for being early.
“Please have
a seat. Would you like some tea?” asked Ms. Shankar, already signalling the
receptionist to prepare a cup without waiting for Vyom’s response.
“No. Thank
you!” Vyom replied, thinking about the cup of coffee he was already committed
to drinking after the session at Papa Americano.
“I insist.
It is a very good brew. I assure you will love it. Might even give you a caffeine
kick.” Ms. Shankar pressed signalling the receptionist to bring the cup who had
kept it back looking at Vyom’s reluctance.
Vyom carried
the steaming cup of tea inside Ms. Shankar’s office, carefully putting it down
first and the plopping on the sofa, suddenly recalling how straight its back
was.
“How are you
feeling, Vyom?” asked Ms. Shankar, her eyes reading the paper in her folder
marked VYOM 21/08/22.
“Good. How
are you?” Vyom replied, feeling tensed like it was the day of his class twelfth
results.
“So, you are
meeting Dr. Gargoo tomorrow.” Ms. Shankar replied, avoiding his polite enquiry
entirely. “I think you are suffering anxiety and depression and my advice will
be to start medication immediately.”
“OK.”
“Do you have
any questions?” Ms. Shankar asked politely, meeting Vyom’s eyes for the first
time.
“No.” Vyom
replied feeling dejected.
A sudden feeling
of remorse took hold of his body. The results were out and he had failed. Vyom
felt a sudden pang of spasm take control of his stomach and his breakfast
climbing back his oesophagus, the way it had gone down. He could feel
everything that was discussed in his previous three sessions about the symptoms
of a panic attack. The only difference this time was that instead of feeling a
sense of helplessness and a fear of dying, his body fought back through the way
of emotional breakdown. Hot tears started rolling down his cheeks and he
started wailing like a child. Years of emotions which were bottled up inside,
on the verge of an explosion, finally exploded. A pressure cooker which was
ready to whistle finally released all the steam at the right time at the right
place, in front of Ms. Shankar, inside her office- on her couch. All the hurt
that had been accumulating over the years; all the hurt that had been swept
under the rug because that is how men are supposed to be – tough and
emotionless. All that hurt came gushing out of his eyes, no matter how much he
tried to hold them back. All the emotions which did not come out in front of his
parents, his friends, his lovers, his colleagues – people he had known for
years. All that came out in front of a woman he had met two weeks back, thrice,
for fifty-five minutes each. A woman who showed none of her own emotions; a
woman who did not fake any sort of affinity for his friendship; a woman who was
impossible to read for Vyom; a woman who genuinely wanted to help Vyom because
she could see he was broken from inside. Vyom cried for a good part of the
session and discussed his troubled relation with his parents for the rest of
it.
No comments:
Post a Comment