5
The psychiatrist was tall, massive and imposing,
bearded and with hands like shovels. I could just see him
immobilizing a raving lunatic and forcing him into a
straitjacket.
He was kindly enough, considering his beard and
bulk. He got me to tell him everything and kept nodding his head.
This seemed reassuring. Then it occurred to me that I too used to
nod my head while clients were talking and I felt somewhat less
reassured.
However, he said that I was suffering from a
particular form of adjustment disturbance. The separation had
worked in my psyche like a time bomb and after a while had caused
something to snap. Caused, in fact, a series of ruptures. I had
made a mistake in neglecting the problem for so many months. There
had been a degeneration of the adjustment disturbance, which was in
danger of evolving into a depressive state of moderate gravity.
Such situations ought not to be underestimated. There was no need
to worry, though, because the fact of having come to a psychiatrist
was in itself a positive sign of self-awareness and a prelude to
recovery. I was certainly in need of pharmaceutical treatment, but,
all in all, after a few months the situation would be decidedly
improved.
A pause and a piercing look. They must have been
part of the therapy.
Then he began writing, filling a page of his
prescription pad with anxiolytics and antidepressants.
I was to take the stuff for two months. I must try
to find distractions. I must avoid dwelling on myself. I must
attempt to see the positive side of things and avoid thinking there
was no way out of my situation. I must hand over 300,000 lire,
there was no question of a receipt and we’d meet in two months’
time for a check-up.
From the doorway as he showed me out, he advised me
against reading the descriptive leaflets enclosed with the drugs.
He was a real authority on the human psyche.
I hunted for a chemist’s a long way from the centre
of town, to avoid meeting anyone I knew. I didn’t want a client or
colleague of mine present when the chemist yelled out to the
assistant in the back some such phrase as “Look in the psychotropic
cupboard and see if we have extra-strong psychiatric Valium for
this gentleman.”
After cruising around a bit in the car, I selected
somewhere in Japigia, on the outskirts of the city. The chemist was
a bony young woman with a rather unsociable air, and I handed her
the prescription with averted eyes. I felt as much at my ease as a
priest in a porn shop.
The bony chemist was already making out the bill
when I recited my little speech: “While I’m here I’ll get something
for myself as well. Have you some effervescent vitamin C?”
She looked at me for a second, without a word. She
knew the script. Then she gave me the vitamin C along with the
rest. I paid and fled like a thief.
When I got home I unwrapped the package, opened the
boxes and read the enclosed leaflets. I found them
all interesting, but my attention was irresistibly drawn to the
side-effects of the antidepressant. Trittico with a trazodone
base.
The patient began with simple dizzy spells, passing
swiftly on to dryness of the mouth, blurred vision, constipation,
urinary retention, tremors and alteration of the libido.
It occurred to me that I had already seen to
altering my libido on my own, then I went on reading. I thus
discovered that a limited number of men who take trazodone develop
a tendency to long, painful erections, what is known as
priapism.
This problem might even require an emergency
surgical operation, which in turn might result in permanent sexual
impairment.
But the end was reassuring. The risk of fatal
overdose of trazodone was, fortunately, lower than that resulting
from the use of tricyclic antidepressants.
Having finished reading, I fell to
meditating.
What do you do in the case of a prolonged and
painful erection? Do you go to a hospital holding the thing in your
hand? Do you put on very comfortable underpants? What do you
say to the doctor? What does permanent sexual impairment amount
to?
And again, how much does one need for a fatal
overdose of trazodone? Are two pills enough? Or does it require the
whole packet?
I found no answers to these questions, but the
Trittico ended up down the bog, along with the rest of the
medicines prescribed by my psychiatrist. My ex-psychiatrist.
I conscientiously emptied all the packets and
pulled the chain. Into the rubbish bin went the boxes, phials,
ampoules and descriptive leaflets.
That done, I poured myself an ample half-glass of
whisky – avoid alcoholic beverages – and put Chariots of
Fire into the video machine. One of the few cassettes I had
brought away with me.
When the first pictures started coming, I lit up a
Marlboro – avoid nicotine, especially in the evening – and
for the first time in a very long while I almost felt in a good
mood.