
On Chicagoโs northbound โLโ train, I stood in the aisle grasping a pole because all seats were taken. The passengersโ bulky parkas made the car seem even more full. I was squished between my then-husband and a woman whose music I could hear through her headphones. Jay had met me at work, and we were headed home.
The elevated train rumbled along. We passed skyscrapers downtown, and apartment buildings only two or three stories tall as we entered more residential areas. We sped past snow-covered garages and plowed alleys. As I stared out the window, a translucent overlay of Andy Warholโs Marilyn Monroes appeared before me. I could see the other passengers through these squares, but filtered through the paintingโs colors.
I turned to Jay. โDo you see this?โ
โSee what?โ
I swept my mittened hand in front of me to indicate the overlay. โThis.โ
He frowned. โI donโt see anything.โ
My face and body grew warmer underneath my heavy coat. My surroundings flickered as though a strobe light illuminated the trainโs interior. I lowered myself, and sat in the aisle at everyone elseโs booted feet because I felt faint. I ignored the stares. Jay helped me up.
Fortunately, a hospital was just a few stops away. We exited, and walked through the chill and into the emergency room where I must have passed out because the next thing I knew, I was wearing a hospital gown and a pair of too-big socks, tan with white rubber grippers on the soles. I sat in a wheelchair facing a set of double doors made of metal. A young woman peeked through the inset window, her face contorted into an ugly frown.
A blue sign next to the doors said, โPsychiatric Unitโ in white letters. I tightened my grip on the wheelchairโs armrests. Instead of entering whatever was behind those doors, the orderly turned to the right, and wheeled me into a large room containing couches, chairs, tables, and a TV. A handful of patients, some in street clothes, some in hospital gowns, watched television. Others played a board game, and a couple more worked on a ย jigsaw puzzle.
A woman wearing slacks and a light gray sweater approached, smiling. โIโm Debra, your nurse,โ she said, pointing to her name tag. She helped me out of the wheelchair.
โThis is the day room,โ she continued, gesturing towards the sofas. โPatients spend time here between group therapy sessions, but group is over for the day. Itโs also where youโll eat. You missed dinner, but Iโll have something sent up.โ
I followed her into a room illuminated by fluorescent lighting, where a pair of twin-sized beds were made up with faded green blankets. A nightstand stood next to each one. A small doorway led to the bathroom where the nurse pointed out the unbreakable mirror.
โYou donโt have a roommate right now, so take whichever bed you want,โ Debra said.
I moved to the one closer to the wire-reinforced window through which I saw the dark sky. When I sat, the blanket scratched the backs of my legs. I reached towards the bedside table, and pulled a drawer open. โWhereโs my stuff?โ I asked.
โSo you do speak,โ said Debra. โYour things are at the nursesโ station. Youโll get them back before youโre discharged. If you donโt want to wear that gown, a family member or friend can bring you clothes as long as they donโt have drawstrings or shoelaces.โ
โWhat? Why?โ
She turned towards the door. โSafety hazard. Iโll let you know when your dinnerโs ready.โ
Safety hazard. I then realized strings could be used as a weapon against another or even oneโs self. I stared at my black Chuck Taylor lows, at the eyelets, empty as my own eyes looked when I got up to stare at my dull reflection in the bathroom mirror.
Earlier that day, Iโd eaten an entire Thai chicken pizza for lunch so I wasnโt hungry. Besides, I imagined the food wouldnโt be good. I pulled back the covers, and climbed into bed. I didnโt wake until morning.
I sat away from the other patients in the day room for breakfast. Afterwards, a few of them holding packs of cigarettes entered a small, windowed room tucked into a corner. They sat at a table and lit up. I was still a smoker in 1995, and the last cigarette I smoked was before I boarded the train to go home the previous day.
I wanted to join them, but didnโt have my cigarettes. Iโd been trembling since I woke up. My craving overwhelmed me, and I pushed aside my fears to enter the room. I breathed in the smoky haze. The tobacco smell emboldened me, as I shut the door. โDoes anyone have a cigarette I can have? Please?โ I asked.

The conversation stopped. A woman with gray-blonde hair and wrinkles smiled. โHere,โ she said.
I took the cigarette, and she handed me a blue Bic lighter. I inhaled the nicotine, and sighed.
โIโm Greer,โ she said, and pointed to an empty seat. โCare to join us?โ
I moved from my place next to the door.
โWhatโs your name?โ she asked.
โBarb.โ
โIs this your first time?โ
I nodded.
Greer introduced me to the others, who uttered variations of โhello.โ No one drooled, stared into space, or talked to someone who wasnโt there. They shared stories about their first hospitalizations. They showed me how to navigate my time in the unit by going to all the group sessions, even if I didnโt want to, and not staying in my room all day.
โNo matter how hard it is, take a shower every day,โ said a man named Nick.
The night before, Debra gave me a small, cardboard tray encased in cellophane that contained toothpaste, a toothbrush, soap, shampoo, and conditioner. โI took one this morning,โ I said, โbut I didnโt know until after I used it that the conditioner was actually lotion.โ
They laughed. โWelcome to the club,โ said Greer.
Later that morning, I met with Dr. S, a psychiatrist who wore a white ascot and a navy blue blazer. Contrary to what Dr. C said, I didnโt have major depressive disorder; I had bipolar disorder. Dr. S determined this based on my history of depression and what I now realize were manic episodes: never-ending insomnia, going home with strangers, spending money I didnโt have, and generally making poor decisions even though I knew they were bad ideas. Of course, not everyone who does these things has a mental illness. But finally, I had an answer that explained my behavior.
โWhat about the Marilyn Monroes?โ I asked.
โYou had an episode of psychosis. It can happen with depression. Has it happened again?โ he asked.
โNo.โ
โIโm adding a mood stabilizer to your antidepressant to keep the depression and mania in balance. If you experience any more hallucinations, call my office and weโll adjust your medication,โ said Dr. S.
โI canโt believe Iโm still depressed. Itโs been a year, and Dr. C never cured me,โ I said.
His eyes softened, and he said, โMental illness can only be managed.โ
โDoes that mean I have to take medication for the rest of my life?โ
โNot necessarily. Youโre only twenty-five. Your entire life is ahead of you,โ he said as he walked out of my room.
I winced at the clichรฉ.
That evening, my parents visited me.
โThe doctor said I have bipolar disorder,โ I said. โIโve been depressed for a year. At least.โ
My dad snarled, โFilipinos donโt have depression. You need to pick yourself up and choose to be happy. Donโt be lazy.โ
โYouโre not a doctor,โ I muttered.
They left shortly afterwards, my mom crying and shaking her head. โSira ulo niya,โ she whispered to my dad, but loud enough for me to hear.
He nodded. โYeah. Sheโs crazy if she thinks sheโs depressed. No one can know.โ
I heard what they said, but didnโt know enough at the time to figure out if it was trueโif I was really crazy.
What a beautifully-written story, Barb. Thank you for sharing your experience. โค๏ธ
Brilliant, genuine and beautiful writing.