A young guy with no psychiatric treatment history comes in for his second visit. After some initial pleasantries:
I: "How did the medication go?"
(Sheepish look). "Well, I got the prescription filled, but then I got scared and threw it away."
(Later in session, he): "You went to school for ten years to do this?"
"Yeah, it seemed like longer at the time."
(Later in session, he): "Is your job hard or easy?"
"Mumble, mumble, mumble."
Now I can't get it out of my head. Is it dishearteningly hard, or is it laughably easy? I discover that there is no objective way to gauge this. By how many years it takes to obtain society's assent to do it? By how one feels at the end of the day? By "outcome measures?"
What a comedian.