“I’m sorry,” Theo said. “This must be hard for you. I’m just wondering if there was anything that Bess might have said in therapy that would give a clue.”

Fifteen percent, Val thought. She said, “Most suicides don’t leave a note. By the time they have gone that far into depression, they aren’t interested in what happens after their death. They just want the pain to end.”

Theo nodded. “Then Bess was depressed? Joseph said that she appeared to be getting better.”

Val cast around her training for an answer. She hadn’t really diagnosed Bess Leander, she had just prescribed what she thought would make Bess feel better. She said, “Diagnosis in psychiatry isn’t always that exact, Theo. Bess Leander was a complex case. Without compromising doctor-patient confidentiality, I can tell you that Bess suffered from a borderline case of OCD, obsessive compulsive disorder. I was treating her for that.”

Theo pulled a prescription bottle out of his shirt pocket and looked at the label. “Zoloft. Isn’t that an anti-depressant? I only know because I used to date a woman who was on it.”

Right, Val thought. Actually, you used to date at least three women who were on it. She said, “Zoloft is an SSRI like Prozac. It’s prescribed for a number of conditions. With OCD the dosage is higher.” That’s it, get clinical. Baffle him with clinical bullshit.

Theo shook the bottle. “Could someone O.D. on it or something? I heard somewhere that people do crazy things sometimes on these drugs.”

“That’s not necessarily true. SSRIs like Zoloft are often prescribed to people with major depression. Fifteen percent of all depressed patients commit suicide.” There, she said it. “Antidepressants are a tool, along with talk therapy, that psychiatrists use to help patients. Sometimes the tools don’t work. As with any therapy, a third get better, a third get worse, and a third stay the same. Antidepressants aren’t a panacea.” But you treat them like they are, don’t you, Val?



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