Page 20 of The Silent Patient

“I think this will definitely put your patients in a good mood.”

Indira laughed and looked pleased. I realized why I liked her—she radiated a kind of maternal calm. She reminded me of my old therapist, Ruth. It was hard to imagine her ruffled, or upset.

I glanced around the room as she made the tea. The nurses’ station is always the hub of a psychiatric unit, its heart: staff flow to and from it, and it is where the ward is run from day to day; at least where all the practical decisions are made. Thegoldfish bowlwas the nurses’ nickname for the station, as its walls were made of reinforced glass—meaning staff could keep an eye on the patients in the recreation room, in theory at least. In practice, the patients hovered restlessly outside, staring in, watching us, so we were the ones under constant observation. The small space did not have enough chairs, and the ones that were there were generally occupied by nurses typing up notes. So you mostly stood in the middle of the room or leaned awkwardly against a desk, which gave the space a crowded feel, no matter how many people were in it.

“Here you are, love.” Indira handed me a mug of tea.

“Thanks.”

Christian ambled in and nodded at me. He smelled strongly of the peppermint gum he was always chewing. I remembered he used to smoke heavily when we were at Broadmoor together; it was one of the few things we had in common. Since then Christian had quit, got married, and had a baby daughter. I wondered what kind of father he made. He didn’t strike me as particularly compassionate.

He gave me a cold smile. “Funny seeing you again like this, Theo.”

“Small world.”

“In mental health terms, it is—yes.” Christian said this as if to imply he might be found in other, larger worlds. I tried to imagine what they might be. I could only imagine him in the gym or in a scrum on the rugby field.

Christian stared at me for a few seconds. I’d forgotten his habit of pausing, often lengthily, making you wait while he considered his response. It irritated me here just as much as it had done at Broadmoor.

“You’re joining the team at rather an unfortunate moment,” he said eventually. “The sword of Damocles is hanging over the Grove.”

“You think it’s as bad as that?”

“It’s only a matter of time. The Trust is bound to shut us down sooner or later. So the question is, what are you doing here?”

“What do you mean?”

“Well, rats desert a sinking ship. They don’t clamber on board.”

I was startled by Christian’s undisguised aggression. I decided not to rise to the bait. I shrugged. “Possibly. But I’m not a rat.”

Before Christian could reply, a massive thud made us jump. Elif was on the other side of the glass, hammering at it with her fists. Her face was pressed up against it, squashing her nose, distorting her features, making her almost monstrous.

“I won’t take this shit no more. I hate this—these fucking pills, man—”

Christian opened a small hatch in the glass and spoke through it. “Now is not the time to discuss this, Elif.”

“I’m telling you, I’m not taking them no more, they make me fucking sick—”

“I’m not having this conversation now. Make an appointment to see me. Step away, please.”

Elif scowled, deliberating for a moment. Then she turned and lumbered off, leaving a faint circle of condensation where her nose had been pressed against the glass.

“Quite a character,” I said.

Christian grunted. “Difficult.”

Indira nodded. “Poor Elif.”

“What’s she in for?”

“Double murder,” Christian said. “Killed her mother and her sister. Suffocated them while they slept.”

I peered through the glass. Elif joined the other patients. She towered over them. One of them slipped some money into her hand, which she pocketed.

Then I noticed Alicia at the far end of the room, sitting by herself, by the window, looking out. I watched her for a moment.

Christian followed my gaze and said, “By the way, I’ve been talking to Professor Diomedes about Alicia. I want to see how she does on a lower dose of risperidone. I’ve brought her down to five milligrams.”

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