something?
It occurred to Carla, seated in the armchair facing Dr. Samuels, that perhaps she didnât have the right credentials to be his patient. She didnât even own a mink coat.
âNone of it seems that important,â she said hesitantly in response to his question about what was bothering her. âIâm probably making too big a deal of it.â
âIf it bothers you, itâs important,â Samuels said encouragingly. âJust jump right in and get your feet wet!â Part of Samuelsâs success was that he viewed a visit to him as a kind of recreational opportunity: âHow often do you get to talk about yourself for an hour?â he liked to remind his patients. âEven your mother wonât listen to you for an hourâso take advantage and enjoy.â
âI guess Iâm feeling overwhelmed,â began Carla, emboldened by Samuelsâs encouraging tone. As she spoke, he motioned with his hand, as though directing a car to back up into a vacant space, and she proceeded more rapidly: âJeffrey, my ten-year-old, has been showing signs of ADHD, and Iâm not sure I want to put him on the medicine. It seems like a drastic step. And Stephanieâthatâs my twelve-year-oldâhas a bat mitzvah coming up and is acting very oppositional. Not that sheâs not generally oppositional, but lately itâs been more so. And Markâthatâs my husbandâis having difficulties at work. Heâs a physician, and the state of medicine being what it isââ
Samuels put up his hand, indicating that heâd heard enough (i.e., the car had made it into the space). It was his operative method to listen for a minute or two and give advice. Most of his
patients appreciated this: âUsually, they make you do all the work,â explained one devotee. âSamuels doesnât waste your time. He gets the gist and tells you what to do.â
âOkay,â Samuels said now, âI think Iâve got the picture. Youâve got some stress. Stress is normal. The question is: Are you handling it well? And how much of the stress should really involve you? Letâs take a look: First, your sonâIâd say, have him come see me. Iâll tell you if he needs to go on the medicine. If he does, itâs not the end of the world. Itâll make life a lot easier for you and heâll be happier.
âSecond, your daughterâsheâs oppositional. Nothing new for a twelve-year-old; it comes with the territory. But you need to lay down certain rules. If she deviates, ground her. Itâs amazing what grounding can do to get them into shape at that age.
âThird, your husbandâthatâs really a matter between himself and his profession. Heâll work it out. Heâs a physician; you wonât starve. But Iâll also let you in on a secret: A little self-promotion wonât hurt. Look at me.â He pointed to his book prominently displayed on a side table, and to an array of articles with his byline that had been arranged on a bulletin board near the window.
Carla nodded. Dr. Samuels, she could see, had a way of sorting things out. She had sensed the value of self-promotion when she first saw Samuels at his bookstore appearance. Now it came home to her that her husband could do some of the same sort of thingâwith her help. The idea of grounding Stephanie for bad behavior and of bringing Jeffrey in for a consultation also seemed like reasonable strategies. She felt better already.
âIs that all?â asked Samuels cheerfully, slapping his hands down on the desk as if to imply that this was small potatoes compared to what he normally sawâa reassuring response in itself.
âWell, thereâs the issue of the bat mitzvah dress,â added Carla tentatively. She had wondered whether such a trivial point should be raised in a psychiatric session, but decided to plunge ahead.
âNot a trivial