I recall running into Dr. Matthews, my daughter Mary’s psychiatrist, some months after Mary’s suicide. She was someone I had always admired; and even to this day, my physician husband claims that she (now deceased) was the best psychiatrist he’s ever worked with professionally.
On the day in question, Dr. Matthews was wearing an expensive suit, her hair was nicely styled, and she exuded confidence. Resenting her for all of it, I began asking myself about justice. As in, how could a doctor with direct responsibility for Mary’s welfare go on living in such a nice, orderly way? After all, I wasn’t living in a nice, orderly way. My life was the opposite of nice and orderly, and the contrast was galling.
Years have passed, and now I see how wrong my perception was that day. Just because the severity of her grief makes a mother believe she is suffering at a uniquely profound level doesn’t mean that she is. Other survivors, including clinicians, also undergo unique, profound suffering.
“Twin bereavement” is the term researchers use on behalf of clinicians. “In addition to the personal grief reaction entailed in losing a client with whom there was a therapeutically intense or intimate relationship, this loss is likely to affect clinicians’ professional identities, their relationships with colleagues, and their clinical work” (John R. Jordan and John McIntosh, Eds. Grief After Suicide: Understanding the Consequences and Caring for the Survivors. New York: Routledge, 2011, p. 95).
Other researchers have found that mental health therapists describe losing a client “as the most profoundly disturbing event of their professional careers,” noting that a third of the therapists “experienced severe distress that lasted at least one year beyond the initial loss” (Ibid).
Though seventeen years late, I’m saying, “Sorry, Dr. Matthews.” I finally grasp how hurt we all were, you not least. I finally get that we were all doing our best to survive Mary’s death. I finally realize your way was to put on a nice suit and see your patients hour after hour, same as always.
My daughter had been seeing her psychiatrist since she was 15 or 16. After she went to college she would check in with him by phone or on school holidays. She had been in to see him a month before she killed herself. They had a great session, in which she mapped out her goals for the year, and talked about long-term, life goals. At her funeral, he came to hug me and when I put my arms around him, I heard that deep groaning sound someone makes when they are trying to stifle a sob. He couldn’t help himself, he began to cry. He’s the only person that day who cried in my arms. Some people might find it unprofessional, I found it human, and comforting. But I’m sure back at the office, no one knew of this pain.
What a wonderful tribute to your daughter, her psychiatrist, and you for making this memory available to the rest of us. Thank you.