mental health problems, then help him. You are a therapist.
Lazâs words brought a burst of calm and confidence as I extended a hand to the man. He gripped my hand in a dry, firm shake.
âYou sought me out.â I smiled. âCome on back.â
Without a word, he stood and followed me back to my office. I had a large corner room with floor-to-ceiling windows on two walls. The rolling hills and pastoral views of Northern Baltimore County were my backdrop.
âHave a seat,â I offered, waving a hand at the large leather couch that faced my armchair. He sat down and I took my seat. Both my armchair and my desk were closer to the door than where my clients sat, a first lesson learned in graduate school.
âBefore we begin, I need to let you know that whatever we talk about in here is confidential, unless you are having suicidal or homicidal thoughts, or you disclose a child, past or present, who has been abused or neglected. These exclusions to privacy are to keep everyone, including yourself, safe. More details about our policies are in the welcome packet I will give you at the end of our session today. If you have questions at any time, please ask.â It was my customary spiel that I said to each client at intake.
He nodded and his smile widened, showing off perfectly aligned white teeth. Darci was right. He had movie star good looks. Why had I been so unnerved by this man again?
But good looks meant nothing.
âOkay,â I continued. âLetâs get started.â I grabbed a blank intake packet, an ink pen, and notepad.
His smile suddenly weakened some.
âYou donât like me taking notes.â I said what he had not voiced.
âYou can take notes,â he spoke softly, his smile now fully gone.
âLet me just get some basic information from you, have you fill out some forms, and then I will put the pen and paper away. Howâs that?â
âYou didnât get my message?â
The e - mails! âUh . . .â I tried to think of what to say.
âI left a phone message for you Saturday.â He studied me as he spoke. âI said that I can pay you myself. You donât have to worry about any insurance billing paperwork.â
âOh, yes, that.â Heâs not talking about the e - mails. Exhale, Sienna. âI did get your message.â I managed a weak smile as I continued. âYou stated that you wanted to simply meet to have, what was it? Conversations. No insurance forms. No diagnoses. Just talking. We can do that, but I still need to get some basic information from you.â
He raised an eyebrow. I quickly continued.
âLike, your name? Your age? Your address? Your contact info? That sort of info helps if we are going to talk.â
âWhat does a name tell you?â He crossed a leg over a knee and sat back more comfortably on the sofa.
âWell, it lets me, and the rest of the world, know how you want to be identified, for one.â
He stared at me intently for a moment, then cocked his head to one side. âThe Non-Exister.â
âExcuse me?â I tried to avoid blinking my eyes, but my eyelashes fluttered anyway.
âYou asked how I want you and the rest of the world to identify me, and that is who I am. The Non-Exister.â The man continued to stare at me intently.
âI need your name,â I asserted.
âNo, you said you needed to identify me.â
âSo, you donât have a name that you answer to?â
âI have a name. It just doesnât match my identity. And you asked for my identity.â
I looked down at my notepad and considered whether I needed to take notes. A personality disorder? Schizophrenia? I was determined to stay a step ahead. A working diagnostic impression, even if I didnât write it down, would give me a frame in which to base therapeutic treatment. Was therapy what he even wanted?
âOkay, letâs start this again. Hello, my name is
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