“So what have we done thus far? We’ve identified the more intricate manifestations of your dritiphily. We’ve established, through your own self-revelation, that you are habituated to eating phlegm, and that this ingestion is the only thing that permits you to achieve sexual arousal. Yes?”
Barrows didn’t like the sound of that, but he kept reminding himself what he was here for. Hence, his reply: “Yes.”
“Normal childhood, normal upbringing,” she said more to herself. “Not at all uncommon. The bad childhoods, the ab normal upbringings—those are the environmental breeding grounds for the Henry Lee Lucases, the John Wayne Gacys, the Jeffrey Dahmers. But you’re a successful investment financier, not a psychopath, not a serial-killer.”
Thanks, Barrows thought.
“Instead, your anomaly is rooted in between those notions. It’s hidden. It’s secreted away somewhere. Think of a well-crafted clock, but with the tooth of one solitary gear broken. We will find that cog, Mr. Barrows, and we will fix it.”
“You make it sound easy,” his voice grated.
“It may be. How badly to do want to be cured?”
He looked up quickly. “I’ll do anything. Pay… anything. ”
“You’re accustomed to throwing money at your problems,” she acknowledged. “But that may not suffice here. Your mind is not a carburetor simply in need of a new gasket. But as your current psychiatrist, I’d be negligent in not informing you of some potential ‘quick fixes.’ There are, for instance, some rather radical treatments not endorsed by the APA, available in South America. Cariothiazine infusions which alter the chemistry of your brain, acupuncture, various aroma- and thermal-therapies. Narco-synthesis and bio-feedback cycles. I’ll admit, sometimes they work, but I can’t recommend them.”
Barrows sat closer to the edge of his seat, wringing his hands. “I’ll try anything, and… I’ll pay. I’ll pay a lot. ”
“So you’ve said. One thing I can recommend a bit more than the latter would be an aversion-therapy clinic in Köping, Sweden. Believe me, they’ll cure you of anything—the hard way.”
“I’ll do it!” Barrows nearly shouted at her.
“I don’t suppose that the $30,000-per-month in-patient fee would bother you. But I’ll be honest in informing you that all too often these rather Pavlovian aversion techniques only eradicate one disorder to expeditiously replace it with another.”
“Great. I go from eating phlegm to eating shit? No thanks,” Barrows gruffed. He sat back, hands held out uselessly. “What then?”
“Your best chance for a successful recovery?”
“Tell me!”
Her long fingers idly rolled the cigarette then crushed it out. “Your best chance for a successful recovery stands with what you’ve previously frowned at. Maintained—and expensive—psychotherapy,” she said. “Certainly, I’m aware now that you’re a man of considerable income, and, especially due to the nature of your profession, you may think that I’m merely recommending the option that would most benefit my own financial interest. Therefore, to reduce any such trepidations, I’d be happy to give you a list of other psychiatrists who would be happy to render a second opinion.”
To hell with it, Barrows thought. Her staunch demeanor and cool locution told him enough: She’s it. Where else can I go? Fuckin’ Sweden? Goddamn South America? Besides, at the very least, she was attractive; Barrows, in fact, caught a quick fantasy in his mind: Sucking down a big green loogie and fucking her right there on the desk. Maybe if he put a gun to her head, she’d spit in his mouth. “That won’t be necessary. I want you to treat me. Please.”
“Fine,” she said crisply and leaned forward. She began writing on a small tablet. “For the first month, our sessions will be five days a week, seven if necessary. You’ve told me that you typically embark upon your… need… when you leave work, correct?”
“Yes.”
“So I’ll schedule you for, say, six p.m.? Will that suffice?”
“Yes,” Barrows agreed.
“Instead of stalking down James Street every day after work, you’ll be coming here.” She finished writing, handed him a small slip of paper. “Here’s a prescription for a drug called Hydroxyzine. Ten milligrams four times a day. It will help ease the physical aspects of your dependency. In the meantime, I’ll schedule you at Harborview for a physical: blood tests, histamine counts, and the like, and also your first atropine injection, which helps take the edge off too. Then we’ll set you up for a written battery—MMPIs, TATs and TEDs, the Baley Scales and the Rorschachs—these are tests which might seem frivolous to you, but their conclusions will help me get a better fix on the more systematized aspects of your psychological make-up.”
“I’ll do it,” Barrows said without pause.
“Try to control your urges. You’ll probably fail for now, and that’s all right.”
He took the prescription, looked at it as if gazing upon something dear. For a moment, he wanted to cry.
After all these years, he’d found someone who would help him.
Time to start going back to church, he thought.
Dr. Untermann’s regal face appraised him, and she smiled. “Have no fear, Mr. Barrows. You’ve made the first, most crucial step. You’ve come for help. And I’ll help you. So many other never do that. We’ll see this thing through… and fix it.”
Barrows felt choked up as he stood. “Thank you…” His gaze drifted from her face to the wall behind her, which was covered with degrees and certificates. “You must be… pretty good.”
“Not to sound pretentious, Mr. Barrows, but as for treating cases such as yours, I’m probably the best in the country. Go home now. Think about what we’ve discussed, and envision the end of your affliction.”
“I will.”
“Tomorrow at six, then?”
“Yes…”
“And get that prescription filled tonight.”
“I will.”
She lit another long slim cigarette: long and slim and refined like herself. “Goodnight, Mr. Barrows.”
Misty-eyed, Barrows left the office. Part of his psyche, of course, urged him to head right back down to his hunting grounds and search for the strange, tender morsels of his need.
But not tonight.
Because as he made his exit from the frosty, handsome woman’s office, he realized he was leaving with something he’d never had in the last two decades.
He was leaving with hope.
««—»»
It was like heroin. It was like high-grade crack or freshly distilled crystal meth. Extreme obsessive-compulsive disorders affected the same neurotransmitters that the most highly addictive narcotics affected. Marsha. Untermann had seen enough victims to know not only this but the ultimate implications.
You always start a patient off with a positive purview—that was essential—but the rest was never easy. Sometimes it was impossible, and Dr. Untermann knew impossible when she saw it.
She knew that Barrows wouldn’t make it.
Her black Bally high heels clicked along the clean cement of the parking garage beneath the twenty-story mirror-faceted Millennium Tower, and it was a nice, new black Mercedes 450 that she slid into. She lit another cigarette—a beastly habit, she knew—but didn’t yet start the engine and leave for her lakeside Fremont condo. Instead…
She thought.
Extreme obsessive-compulsive disorders—OCD’s? Especially the really radical ones?
The trichotillomanics, the aphasics, the dysgeusaics? The success rate was actually so low, it was scarcely worth treatment. It was actually less than the seven-percent success-rate for crack addicts. Much less.
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