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The Patient

Anonymous

Prose
She really seemed like a patient, a victim, as though she did not want to be there or anywhere else. She was cradling her arms in the way that she always did, but they were limp now, almost scared to touch each other, just as she looked – scared. Scared of herself, afraid of her thoughts, what I might think of her, what others might think of her, how she would feel tomorrow, whether she might want to hurt herself again. I felt as if she wanted to show me how damaged and frail she was, completely contained in her own world and constantly thinking about herself.

I assessed where she was sat, scrutinizing her surroundings my eyes flickering from her face to the wall so as not to make her feel uncomfortable as she looked down, avoiding my gaze. The walls of the room were painted a greying white, the small window set high into one wall was barred, the bright sunlight outside trying but failing to penetrate the room to where we were sitting. The conditions, I remember thinking, did not seem conducive to a healing.

So we sat in artificial light on plastic chairs, talking. We spoke about the other patients and the nurses on the ward whom she had just met and liked. We spoke about all the people she did not like also. Countless reasons for her displeasure were stated, none seemed valid or justified to me though to her, in the microcosm of the hospital, they were all encompassing.

I brought her some magazines, trashy ones we used to enjoy reading together and laughing at when she was still in school. She smiled when I described some of the ridiculous articles she could read but her gaze soon returned to her knees as she explained how she was no longer allowed to use her reading glasses because she had snapped the lenses in half and used them to cut herself. By this point I was numb to the self-harm. The thoughts that stung were for the wasted life she was living, having dropped out of school, wasting her keen intelligence.

She asked if I wanted to play pool in their recreation area. I agreed, I had wanted to escape the grey room since I had arrived. We walked through the door into another larger room painted saccharine yellow. The colour almost mocked the pallid complexions of the gaunt young anorexia sufferers and the black moods of the depressed occupants. I did not ask to see her room. I found it hard enough to imagine her sleeping away from her own bed, the same one we had sat on to gossip about school friends and watch movies. I remember her being pleased that they had allowed her to paint the room a colour of her choice but this only worried me; they clearly expected her to stay here a while longer and wanted her to feel at home.

When visiting time was over I was more than ready to leave. I wanted to escape from the yellow room, from all the pale, damaged young people, from my best friend who was no longer the same. I felt awful — so guilty that I could escape and she could not and so guilty that I wanted to.

I knew I would return to the ward, but only through duty. I would return because of a memory of the friend I once had and through the hope that she would, perhaps someday, return to me.

My creative piece is about my visit to see a friend at a mental health ward for young people based in a large hospital for the treatment of mental illnesses. The piece describes the first of many visits to the ward and the realization that my friend would be kept there for a significantly long time. She suffers from depression and before being admitted to hospital had seen countless counsellors and been prescribed antidepressants. I had witnessed my friend’s transition from a happy young girl to a miserable teenager and eventually suicidal seventeen-year-old, and in some ways, especially in the early stages of her illness, I provided the only outlet for her feelings. I always felt that I knew her well until the point at which she was admitted to hospital where her whole personality seemed to become her illness and she could think of nothing else. Only when I first visited the ward where she was admitted, did it dawned on me that she was really ill. I think in some ways the drastic transition from her old life to this new setting startled her too and perhaps added to her feelings of isolation and, at first, did nothing to help her crippling self-consciousness which played such a big part in her depression.

My criticisms of the ward at this time were often unfair. It cannot have been nearly as dingy or unwelcoming as I remember. I hated the pale, muted colours and called them depressing but I equally hated the bright vibrant colours as they seemed to mock the mood of the residents. I think I felt protective towards my friend and the obviously limited resources the NHS could provide did not feel enough for such a special person. She was forced to do GCSE classes even though she had passed her GCSE exams a year previously with flying colours. It all felt so ill-thought out and impersonal to me.

I was also aware of how the little things could affect her mood so greatly. One seemingly ‘nasty’ look from a classmate could set off a spiral of self-doubt, so who knew what effect her surroundings could have had on her in such an enclosed space.

It was hard to see her in a hospital, really becoming defined by her illness. She was no longer my friend with depression, she was my depressed friend, and at first, and for a while after, she played this new found role and the role of the patient brilliantly.

Anonymous, to preserve patient-confidentiality

Whole Person Care, Year One, 2010