INT. GP SURGERY – AFTERNOON
NEIL, white, late 40s, in a retro Nottingham Forest shirt and shorts, and DR Saine, white, early 40s, in blue scrubs, are a few minutes into discussing his recent diagnosis of work-related stress. GAVIN is NEIL’S inner voice and of course, DR SAINE cannot hear him.
DR SAINE
From what you’ve told me it sounds like it’s been tough at work for a while?
Neil nods slowly and gives him a little smile.
NEIL
I try and I hide it, but my wife says she knows when there’s a problem. I go quiet. Withdrawn. I’m not present or listening to her or my sons. I’m not the same person.
GAVIN
He’s absolutely fine. I don’t know why we’re here. Waste of time. Tell him to pull himself together like the old days.
NEIL
I worry about what people think. That, they won’t believe me. I know people have deeper struggles than I do.
DR SAINE
We’re all different and we all handle things differently. What matters is your own experience and what you need to get better.
Neil looks grateful.
Now, I see you spoke to DR H before? He provided a fit note?
NEIL
Well, no, he offered one but I turned it down. . .I guess I thought I was through the worst of it…He said to come back if I changed my mind.
GAVIN
He was fine. If he can get out of bed in the morning then he can do his job. I know he’s had a lot on and what he does never feels good enough etcetera etcetera, but he has to crack on like everyone else because that’s how life is. Time off is for people with real problems, not for those with ‘mental health issues’.
Neil is trying to ignore GAVIN and focus on what DR SAINE is saying.
DR SAINE
So, then what happened?
NEIL
I hit a point where I felt I couldn’t carry on. Well, actually, my wife told me to shut my laptop and explain to work I was sick. She was so worried. She said I was physically shaking. I felt my heart beating out of my chest. My blood pressure was really high too.
DR SAINE smiles empathetically, and then types a few notes.
GAVIN
Haha. You weren’t that bad.
DR SAINE
So, you listened to your wife and did what she said?
GAVIN
Of course he didn’t! He still doesn’t hang the washing on the line the right way.
NEIL
Well, no. I carried on. I didn’t want to let anyone down at work. It would only add to their workload.
GAVIN
I told him they’d probably think he was weak and being fake just to get time off. You can tell by their faces when he’s gone off on one before about his ‘mental health’. He doesn’t have it half as bad. He’s got a wonderful family and great friends.
Some people have nothing. We once saw a man asleep in a bin bag next to the canal for fucks sake. He needs to be grateful and get some perspective. Crack on, and man up, just like all the old white men on Facebook tell us to do.
NEIL
I decided to tell them I wasn’t well enough to work the next day.
(beat)
I thought maybe I just needed to step away for a day.
GAVIN
He was talking about it all night with his wife. She was probably fed up with listening. I told him to wait until everyone was asleep and the house was quiet. It would be just me and him in the darkness figuring everything out. I even threw in a few other things to think about too, from the past and some future scenarios for good measure.
I also put Kylie’s I should Be So Lucky on in the background. He hates that song. Haha.
DR SAINE
But you changed your mind about the fit note, which runs out soon?
NEIL
Yes. I thought it was for the best. Reluctantly.
GAVIN
You should have seen his anguish preparing the email to work. ‘They’re going to hate me. They’re not going to believe me. It’s going to cause so much trouble.’ Blah Blah Blah.
DR SAINE
I agree it was for the best.
Well, there’s a few things we can do as part of the whole treatment package. We can extend the fit note, firstly, if you don’t feel ready to go back. You also mentioned you have an appointment with a therapist, which is great.
NEIL
I also exercise often, I write, I make art…I’ve even been doing comedy improv which gives me a lot of joy.
GAVIN
The fact that he can still ‘be funny’ but not able to work says everything to me, doctor, and if his work colleagues knew that they would think it too.
DR SAINE
That’s all really helpful for your recovery. I would encourage you to continue to do those things. I could also offer anti-depressants.
NEIL
What?
GAVIN
Yes. What?
DR SAINE
It’s entirely up to you, but they may help you get through this bad patch. They could help with the anxiety when you eventually return to work.
GAVIN
Anti-depressants! Really. I’ve heard it all now.
NEIL
I’m not sure. Wouldn’t it affect the ADHD medication?
GAVIN
Oh, the ADHD. First it was that. Now this. I still don’t believe you have ADHD. You never threw chairs at teachers or legged it out the school gates like Forrest Gump.
(beat)
I still don’t believe it despite your own extensive research, your written chronology of life-impacted events and the formal diagnosis from a trained clinician.
I don’t believe it, despite the fact that its evident amphetamines calm your brain and don’t turn you into Bez from the Happy Mondays.
(beat)
You’re an imposter! But you’re my imposter and I will always protect you.
DR SAINE
No, they work alongside what you’re taking. I have no concerns over that. But it’s entirely up to you.
NEIL is in deep thought. DR SAINE makes some notes.
GAVIN
Anti-depressants, indeed. Remember how your grandparents just carried on without ‘happy pills?’ How they were so worried about what people thought about your grandfather’s mental health problems that they explained it away as simply being about his ‘nerves’. Remember when he explained his fears about being put in the ‘funny farm’?
(beat)
Remember how, despite their misery and anguish, they decided they would ‘be alright?’ Remember how they self-medicated with alcohol, after their only daughter, your mother, died? Remember when they’d always start the day with a whisky and get lost in their own thoughts for days and days?
(a few beats)
That’s how you get through a bad patch, Neil, you wallow in grief and self-pity with a bottle of Scotch…
(a beat)
And then you watch Coronation Street in your underpants.
NEIL
I’ve never taken them before. Feels like a big step. Can I think about it?
DR SAINE
Yes, of course! It’s entirely your decision. I can write a prescription and then if you decide you want to try them you can.
GAVIN
In the meantime, I’ll decide he doesn’t need them.
NEIL
Great. Thank you.
NEIL gets up to leave. DR SAINE returns to the computer.
DR SAINE
I’ll extend your fit note and sort the prescription, should all be with you in an hour.
GAVIN
That he won’t be needing.
NEIL
Just one thing on the anti-depressants… What’s the impact on something like your inner voice?
GAVIN
Wait. What? Where are you going with this?
DR SAINE
A common effect is the reduction in the volume or even presence of inner monologues.
NEIL
Interesting. Ready in an hour you say?
GAVIN
Bastard! I will not be silenced. I’m here to keep you safe. What will you do without me?
NEIL
Thanks Doctor. I feel like a weight has been lifted.
GAVIN
Noooooo!

