Alexis had come to me sometime in mid-October. The generally feeling was this wasn't a serious case, that was why she was seeing me after all, but her grades had fallen seriously over the past year and her RA suspected depression. At the time I'd thumbed through her file. Age 20, sophomore. Originally from Seattle, came to Boulder on a full ride academic scholarship. Played one year of tennis for CU. Nothing unusual in her medical history.
The only thing that caught my eye as being out of the normal was a hand-written scrawl at the bottom of the page: "4/14 β Requested prescription for Claritin and was informed that Doctor Aldridge would see her. She was unaware that filling a new prescription required a check up. Informed her that it was the Student Medical Center's policy to require a checkup on file before any issuance of prescriptions. Patient nodded and sat back down. I was distracted by a phone call but later when I looked up, I saw she had left."
Shy around doctors, I noted in my pad; very understandable and it would help dictate how I would handle our session. The general idea is to be as welcoming and as non-judgmental as possible, but with certain clients it was best to work the session more as an amiable conversation between equals rather than the classic psychologist-patient relationship. Y'know, the old cliche with the wizened old Freudian psychoanalyst sitting rigid and cross-legged in his stiff-backed chair while the patient expounds on his ills; well, I didn't run my practice that way. I didn't even like the word patient; to me they're clients, and they're not "sick" as the term patient implies, just individuals needing someone to talk to, and if all went well, by the end they were just friends, not even clients anymore.
True, I was only a grad student, 32 years old, sadly still renting and paying my student loans. I had to run my practice out of the office/living room in my apartment. Nevertheless I only saw these as advantages to really establishing strong bonds with my clients. I wasn't so far removed from college myself. I could understand what my clients were going through, the anxiety of classes and the pressures of deciding which first step to take in their respective paths through life. Any period of transition by its very nature is stressful and really can you think of any more crucial transition than from student to citizen in the real world? I can't. Further my apartment was small and homey and less sterile than a clinical office, it helped my clients to feel comfortable and to open up more easily. I had only recently started seeing clients, and being so young the school would only pass along to me those students suffering seemingly mild symptoms: simple anxiety, borderline depression, relationship advice, that kind of thing. Anyone showing the signs of schizophrenia, bipolar, OCD would be referred on to more "accomplished" professionals. That first session, I still remember like it was yesterday.
There was a knock on my door.
I opened it and smiled warmly extending my hand "Alexis, welcome. I'm Sam Madison, come in." She smiled a little hesitantly, taking my offered hand but remained outside my door, peering at the apartment behind me.
She was very pretty, very fair-skinned her seemingly delicate features only marred by a smattering of faint freckles across her nose, a cute imperfection, long chestnut-brown hair pulled back and upswept in a double braid, revealing a slender white neck accentuating by a tight black interwoven necklace. But it was her eyes, that you couldn't help but notice: radiant, expressive pools of blue highlighted by the mascara and black eye liner she wore, perhaps to bring out her eyes, perhaps just to make her look older, and yet at that moment in those eyes all I saw was the flicker of uncertainty. Even in that first meeting I could see the girl she was, and the woman she was to become fighting for control.
"That's a pretty necklace," I said gently, reaching out to finger it lightly "was it a gift?"
"I got it on a trip to Peru," she said softly her eyes downcast. I realized I'd made her self conscious.
"It's lovely," I said, motioning to the apartment, stepping back from the doorway to appear less imposing. "C'mon in, Alexis. Can I make you some tea? Coffee perhaps?"
"No...thank you," she said, her voice barely above a whisper. But she stepped in and quickly sat down on the black leather couch, smoothing out the front of her jeans primly.
I sat back down in the accompanying chair and smiled reassuringly "Did you find your way here ok? I know when I say it's on Adams, I should really just say it's on Baseline because that's easier to find." Clients often relaxed when I'd chitter away inanely. She nodded. "But at least you had decent weather on the way over. Mid 70s in October, makes it hard to believe it's going to snow by this weekend, only in Colorado, I guess. Drives me almost..."
"I'm not crazy y'know." She interrupted softly, eyes intent on her hands as she fidgeted.