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cuddys_house2009-07-30 10:42 pm
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Afternoon, Thursday, 26 April
Cuddy pulled into a parking space as close to the entrance of Mayfield Hospital as she could find. She'd made the drive by herself this time. Wilson had protested, of course--he really did take his white knight delusion seriously--but she'd insisted. She was perfectly fine. Junior was happily incubating away and showed no signs of popping out any time soon. She knew that could change in a heartbeat but she didn't intend to spend the remaining days until the baby's birth staying at home because she might go into labor at any moment. She'd be fine, and as long as Dr. Patil remained ignorant about all her 'traveling,' everyone would be happy.
She hadn't actually planned on being back at the hospital just yet. Between her obligations at work and the fact House had his own obligations as far as therapy sessions went, she hadn't planned on visiting on weekdays. However, House's doctor had called on Monday and asked if she'd be willing to join one of his one on one sessions with her. Well, what could she say to that? Of course she'd do it if his doctor thought it would be helpful. It's not like they were asking her to donate a vital organ or something. All she had to do was talk.
She couldn't help being a little nervous, though, because she didn't know what to expect. She hoped the doctor would be able to give her some guidance on how she should deal with House's issues. She'd really, really like to have some guidance on that because she clearly didn't know what to do. But she didn't have any experience with psychiatrists from the perspective of a patient, or loved one of a patient, so she was a bit in the dark as to what would happen in this session.
She pulled herself out of the car, which wasn't all that easy when she had to extricate herself from the seatbelt and squeeze Junior out from behind the steering wheel. She retrieved a small tote bag from the back seat before heading to the entrance. She'd gathered up the things House had asked for, thinking the sooner he got them, the sooner he might feel a little more at ease. Of course, once she got inside, she had to let them search the bag to make sure she wasn't bringing in anything he wasn't allowed to have. She'd been careful about her choices, though, so it didn't take too long before one of the orderlies was taking her into the ward.
She'd arrived a bit early because she wanted to make sure she'd have a few moments with House before the therapy session. She wanted to be able to give him his things and maybe steal a hug or a kiss. She still felt guilty remembering how despondant he'd looked when she'd left on Saturday. She knew this was the best place for him but boy, it was hard to think about him feeling so lonely and lost.
The orderly got all chivalrous on her and carried the bag down the hall to House's room. He gave a sharp rap on House's door. "Vistor for you, Greg." Then he handed the bag to her and smiled before he walked away. "Have a nice visit, ma'am."
"Thanks." Cuddy turned the doorknob and opened the door just a little. She didn't want to intrude if he wasn't quite ready for a visitor. "House, are you decent?" she asked just as she poked her head in.
She hadn't actually planned on being back at the hospital just yet. Between her obligations at work and the fact House had his own obligations as far as therapy sessions went, she hadn't planned on visiting on weekdays. However, House's doctor had called on Monday and asked if she'd be willing to join one of his one on one sessions with her. Well, what could she say to that? Of course she'd do it if his doctor thought it would be helpful. It's not like they were asking her to donate a vital organ or something. All she had to do was talk.
She couldn't help being a little nervous, though, because she didn't know what to expect. She hoped the doctor would be able to give her some guidance on how she should deal with House's issues. She'd really, really like to have some guidance on that because she clearly didn't know what to do. But she didn't have any experience with psychiatrists from the perspective of a patient, or loved one of a patient, so she was a bit in the dark as to what would happen in this session.
She pulled herself out of the car, which wasn't all that easy when she had to extricate herself from the seatbelt and squeeze Junior out from behind the steering wheel. She retrieved a small tote bag from the back seat before heading to the entrance. She'd gathered up the things House had asked for, thinking the sooner he got them, the sooner he might feel a little more at ease. Of course, once she got inside, she had to let them search the bag to make sure she wasn't bringing in anything he wasn't allowed to have. She'd been careful about her choices, though, so it didn't take too long before one of the orderlies was taking her into the ward.
She'd arrived a bit early because she wanted to make sure she'd have a few moments with House before the therapy session. She wanted to be able to give him his things and maybe steal a hug or a kiss. She still felt guilty remembering how despondant he'd looked when she'd left on Saturday. She knew this was the best place for him but boy, it was hard to think about him feeling so lonely and lost.
The orderly got all chivalrous on her and carried the bag down the hall to House's room. He gave a sharp rap on House's door. "Vistor for you, Greg." Then he handed the bag to her and smiled before he walked away. "Have a nice visit, ma'am."
"Thanks." Cuddy turned the doorknob and opened the door just a little. She didn't want to intrude if he wasn't quite ready for a visitor. "House, are you decent?" she asked just as she poked her head in.
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"Your therapy session with Megan is in ten minutes," the nurse told him.
House quietly groaned, rolling onto his back. He felt lethargic and his mouth was dry. And then he remembered, as he licked his lips in attempt to bring moisture back into his mouth, that Cuddy was going to be here any minute, to accompany him in the therapy session. Anxiety suddenly gripped his stomach. He didn't know how he managed to be talked into agreeing for Cuddy to attend one of his sessions. Megan, his doctor, had been the one to suggest it. He'd adamantly said no at first. But after she talked him through it, she managed to drag a reluctant agreement out of him, using words like, 'speedier recovery' and 'get out of here sooner' as a means of persuasion.
"Is Cuddy here yet?" he asked the nurse in a sleepy, croaky voice.
"Not yet. But I'll send her to your room when she arrives." The nurse left the room and House rolled over onto his other side with a yawn while he reached for a tissue on the nightstand. His nose was still congested from the prazosin. That particular drug hadn't been increased in dosage but it still had an effect on the blood vessels in his nose, making it run and seem like he had a cold. After blowing and wiping his nose, he crumpled the tissue up in his hand and just lay slack on his side, barely without much energy or drive to get up. He hated this deadened, heavy feeling so much. He hated feeling so lifeless and weighed down like the world was resting right on top of him.
Slowly, he pushed himself to a sitting position, cringing slightly as a small dizzy spell hit him. The spell passed quickly but he made no further move to stand or do anything except sit on the edge of his bed with his shoulders slumped, bleary-eyed, in his sleep-rumpled clothes, hair mussy from sleep and one side of his face with faint pillow lines down it. He cracked a wide yawn just as he heard a sharp knock on the door and despite how sleepy and unkempt he was, he instantly brightened a little when the nurse announced that Cuddy had arrived. Even if he was dreading the therapy session with her, he'd been looking forward to seeing her all week. It was the one bright spot in his week, at least.
"Not really," he replied, his voice still scratchy with sleepiness, as Cuddy opened the door. The moment he saw her face, he was instantly filled with gladness and all the feelings he'd had of missing her since he saw her last came rushing forth and squeezed his chest with an ache. The corners of his lips tugged up into a small smile. "When am I ever decent?"
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She put her hands on his shoulders and leaned forward, pressing a kiss to his forehead and then meeting his mouth in a brief kiss. She couldn't resist ruffling his hair even more as she stood up. She noticed another side effect as she pulled back. Well, a side effect of a side effect to be more accurate. He was obviously still dealing with a runny nose and it was beginning to look a bit red from all the wiping.
"Brought some things for you," she said, opening the tote bag. She pulled out a small box of tissues--the good kind, with lotion in them--and handed it to him. It seemed like such a little thing but she knew how rough and scratchy the tissues most institutions used were. They only added to the irritation until the 'cure' was almost worse than the 'disease.' So yes, it was a small luxury but it was still a luxury.
She took out a plastic bag that contained the toiletries he'd asked for: soap, toothpaste, deodorant, shampoo and a small container of laundry detergent. "Got some clean clothes and your toys," she said, pulling a few shirts, socks, etc., from the bag and stacking them on the foot of the bed. She'd brought his iPod and Gameboy as requested along with a couple of medical journals that had arrived in his mail, in case he wanted to do a little 'light' reading.
"Wilson sent this. He thought you needed some real coffee," she said, showing him a container of gourmet grounds. "He wants you to put in the common room to share with everyone. Actually, I think he just wants you to share with Justine." She was kidding actually. Wilson hadn't mentioned his new friend even once but that didn't mean she couldn't tease him about it.
Last, she reached into her purse for an envelope with the pictures he'd asked her to bring. Before she handed it to him, though, she pulled out a black and white sonogram. "Got a new portrait of Junior for you," she said, holding it up for him to see. It showed just the baby's head and shoulders. Its face was turned just slightly to the side and its little fists were loosely curled, one by his cheek and the other tucked under his chin.
"At my appointment this week, Barbara wanted to get a more accurate estimate of Junior's weight so she did a quick ultrasound," she explained. "And before you ask--no, I did not have her check for the baby's sex."
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While she picked up the tote bag to go through it, House cracked another wide yawn and rubbed his eyes. He needed coffee or something to give him a jolt awake. In a way, his lethargy was partly due to adapting to the sedate environment of the hospital. He got bored out of his mind very easily but he'd also come to rely on the hospital's routine. His body operated on clock work now, awake by the time he had to get up every morning, hungry by the times his meals were due to be served, and he felt disrupted if his routine was disrupted.
He raised his brows as he was handed the tissues and studied the box. He looked over at the other things Cuddy was pulling out; it was a demonstration of how boring and pathetic his days were that he found getting these things a novelty. He'd only been in here for almost two weeks, yet it felt to him like an eternity, with the same clothes, the same bareness every single day of having nothing he owned with him. He'd never been so glad to see his ipod and Gameboy before now. Even the toothpaste and laundry detergent was a small novelty.
He reached over for one of the medical journals to flip through it when Cuddy produced the coffee. "If he really thinks I'm sharing that with anyone, then he's forgotten who I am," he snorted. He lay the journal on his lap and reached for the coffee, grateful Wilson had sent the coffee along with Cuddy. He pried the lid open to smell it and couldn't help closing his eyes briefly in bliss at the aroma. "I'm definitely not sharing this," he said as he put the lid back on and set it on the nightstand.
He put the medical journal on the nightstand, too, just as Cuddy pulled an envelope out of her purse and produced a sonogram. He looked up at it, then took from Cuddy to have a closer look while she explained. "Huh," he said, staring down at it.
The baby's face was very clear, or as clear as babies faces looked on these things. He could make out the nose and the mouth, and its fingers were very clear. He looked at the date of the sonograph and realised Cuddy was literally one month away from full term. Between this and Cuddy telling him about her check up with Barbara, it only served to remind him how much he didn't feel a part of Cuddy's life while being in here.
He tried to shake that thought off. "I think the kid looks like you," he said, holding the sonograph up for Cuddy to see, though of course it was impossible to see what the kid actually looked like.
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Having emptied the tote bag and set everything in neat little piles on his bed, she was struck by how little it was. Just a pile of insignificant stuff--soap, magazines, coffee. She felt like she should've brought more, or brought something special. She wished she could've brought something that would cheer him up, make him feel a little less isolated. She truly didn't have much say in it, though. The hospital had strict guidelines about what personal items the patients were allowed to have. Cuddy understood why that way but it didn't stop her from wishing it were otherwise.
"Why's that?" she asked, leaning over to look at the sonogram again. "You see horns somewhere? Or maybe '666' tattooed on his scalp?" She pushed the empty tote bag aside and took a seat on the bed next to him. Detecting any family resemblance would have to wait until after the baby was born. All the sonogram showed was that he or she was normal--all the right parts in all the right places. That was enough for now but she was definitely getting anxious to meet Junior face to face.
"I don't know who Junior looks like but he definitely takes after you. This kid's a real night owl." That was meaningless, of course. Babies had no concept of night or day. In the womb it was always dark and warm and relatively quiet. Junior did have a real talent for getting active just as she wanted to sleep, though.
She reached over and set her hand on his thigh. "So, how are you feeling?"
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He leaned across to the nightstand to prop the sonograph up against the box of tissues, then sat back and looked at Cuddy. "Well, of course," he replied about Junior taking after him. "Lying down is boring. The world's way more interesting when Mom's walking around."
And by 'interesting', he meant that babies were lulled to sleep by movement, so Junior no doubt slept while Cuddy was busy during the day. He looked at her belly, then down at her hand on his leg. He stifled another yawn and raised his hand to rub it over his face, trying to rub away the lingering grogginess from his nap. How was he feeling? Old. He felt old and worn out. He looked old and worn out whenever he caught a glimpse of himself in the mirror. Haggard, deep-lined with wrinkles, burnt out, he felt every bit his 48 years of age.
"I'm peachy," he replied. He ran his hand through his mussed up hair. "Need a drink," he added with a slightly sour expression as he licked his lips again. "These meds make my mouth dry." They did, too. They made his mouth taste brittle and sour, particularly after he'd been asleep. He reached for his cane and pushed himself up. He stopped for a second while waiting for a mild dizzy spell to pass and then picked up the toothpaste Cuddy had brought him. "Gonna freshen up a bit, brush my teeth."
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"Okay. I'll just...wait here, I guess." She braced her arms on the bed behind her and leaned back, willing to rest while House was freshening up. Maybe she could use the time to prepare for their joint session with the doctor. She didn't know how to prepare, though. She didn't know what the doctor expected or wanted her to do. She didn't even know how much she was expected to participate.
Thinking about what she didn't know only made her anxious so she pushed herself up from the bed. She put away the things she'd brought him, finding places to stow away his clothes and the rest of his toiletries. Putting his room in order helped settle her nerves. She couldn't control the world but she could control small bits of it and that always made her feel better.
She'd just finished tidying up when House returned. She turned to look at him, suddenly feeling a bit nervous again. "So...." She gave a slightly agitated wave of her hands. "What's supposed to happen in this session?"
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He squeezed a large blob of toothpaste onto his toothbrush and started to scrub his teeth until a thick foam had formed in his mouth. He brushed up to his gums and scrubbed the toothbrush over his tongue to get rid of the bitter taste in his mouth that his medication left him with. He spat, scrubbed his teeth some more, and then rinsed his toothbrush off and cupped his hands under the running water and slurped it up to swill his mouth out. He splashed cold water over his face, too, and combed his wet fingers through his hair. By the time he turned the tap off, he felt fresher and a bit more alert.
He hit the lights on the way back into his room and stopped when he saw Cuddy had put all his things away. He clicked his tongue quietly, a little annoyed she'd done that, though he couldn't be bothered making much of an issue of it. Any shred of annoyance was instantly wiped away with a clench of anxiousness when Cuddy reminded him of the session.
In truth, he didn't really know what was supposed to happen or going to happen in this session, either. That was part of why he was so anxious about Cuddy sitting in with him. Megan had told him she simply wanted to see how Cuddy was dealing with everything and wanted to discuss aspects of House's condition and treatment with her. But he didn't know where any of it was going to lead.
He gave a one-shouldered shrug. "Something," he replied unhelpfully.
Just as he said that, there was a knock at the door. "Greg," said the same nurse who'd escorted Cuddy to his room. "Dr. Galbally's ready to see you now."
"What if I'm not ready to see her?" he retorted.
The nurse just gave him a look as if to say 'you say that every time'. House sighed and nodded begrudgingly. First, he went over to his nightstand and opened the drawer to pull out a sheet of folded up paper, which he put in his pocket, and then headed for the door without an ounce of enthusiasm. He waited for Cuddy to follow him and the nurse led them both down the long corridor, past the nurses' station and into an brightly lit office a few doors down. The whole trek down, House grew more and more anxious. Reaching the door, he saw Megan seated in her desk chair and she glanced up at him.
"Hello, Greg," she greeted pleasantly. She was a short, stocky woman with large hazel eyes and ginger hair cropped into a bob above her shoulders. She stood up when she saw Cuddy, looking pleased to meet her. "And you must be Lisa," she said, extending a hand to Cuddy with a smile. "Nice to finally meet you. I'm Dr. Megan Galbally. But please, call me Megan."
She gestured to a seat that had been pulled up opposite where House typically sat, so Cuddy would be facing him. "Please, take a seat," she told Cuddy, and she motioned for House to sit, too. She waved at the nurse who'd escorted them to leave and close the door, then took her seat. House sat down, already starting to fidget out of nervousness and sheer lack of wanting to be there. He jiggled his leg anxiously while rubbing his thumb across his eyebrow, not wanting to look at either Cuddy or Megan.
For the moment, Megan concentrated just on Cuddy, to make her feel welcome and put her at ease. She sat facing both House and Cuddy, assuming a relaxed pose with her legs crossed. "So, how long have you got to go?" she asked conversationally, waving at Cuddy's belly. "You must be feeling all crowded out."
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House's anxiety seemed to jump up a notch or two when the nurse came to send them off to the session so she decided not to press him. The last thing either of them needed right before meeting with his therapist was to get into an argument. She was pretty sure that's what would happen, too. If she pushed him for information, he'd get snippy and she wouldn't like that. It was an instant recipe for a fight. Not a big fight, but a fight nonetheless.
She allowed House to lead the way to the doctor's office. She drew on her yoga training to calm herself, taking deep breaths and trying to clear her mind of negative thoughts. He'd probably ridicule her if he knew what she was doing but it did help. She was still nervous when they reached the office but she felt like her anxiety was under control and feeling in control only made her feel even calmer.
"It's a pleasure to meet you," Cuddy said, grasping Megan's hand in her own. She'd put on her professional demeanor--a pleasant smile, a calm voice and a firm handshake. It helped her feel like an equal of the doctor's, not like someone Megan had power over.
She settled herself in the indicated chair, glancing at House as he sat. He was clearly nervous. He wouldn't even look at her. She wondered if he started every session like this. She shouldn't be surprised. She hadn't really expected him to dive into therapy with all his heart but it was a bit disheartening to see just how reluctant he was.
She turned her attention back to Megan when the other woman spoke to her. "About a month now, give or take," she said. She gave a rueful grin as she rubbed her hand down over her belly. "Crowded isn't even the word for it. I feel...well, like a blimp. A very full blimp," she said, waving her hands at the bulge that had taken over her torso. She knew she looked huge so it probably wasn't hard for anyone to look at her and realize she had a hard time getting comfortable.
"It's worth it, though," she added. "The baby's healthy, I'm healthy--everything else is just a temporary inconvenience."
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"That's good," Megan said warmly. "I know from experience how uncomfortable the final months can be. Having a positive attitude is really about the only thing that gets you through it, otherwise you'd crazy with sleepless nights and all the aches and pains that come with pregnancy."
She laughed lightly. She glanced at House again quickly; his demeanour hadn't changed, which wasn't anything new. He never approached any of his therapy sessions with positivity. If anything, he treated her like she was an enemy more than anything. Megan was an assertive doctor, however, and she'd dealt with plenty of difficult patients. House certainly wasn't the first difficult one she'd had, though he could be incredibly frustrating at times.
She turned another smile back on Cuddy. "Now, I'm not sure what Greg told you about the point in you coming in today," she told her. "I suggested you coming in and Greg agreed to it. But basically, what I'd like to discuss today with you - and with Greg - is Greg's therapy, and I'd like to get to know how you're feeling about everything. I mean, this clearly isn't an easy time for anyone and as Greg's partner, it's important that you be included in the healing process. Especially so close to having a family together."
She gave Cuddy a smile, then turned to House. "But we'll start with you first, Greg," she said. "How are you feeling today?"
House was still refusing to look at either Megan or Cuddy. He gave the same answer he'd given Cuddy: "Peachy," he replied.
Megan waited a moment to see if he'd offer anything and when he didn't, she said, "It must be good seeing Lisa. I know you've been missing her." She waited again and he nodded after a pause. She watched the way he was refusing to look at anyone and the way he was jiggling his leg. "Are you feeling anxious?"
"A bit."
"Are you feeling anxious having Lisa here?"
At last, he glanced at Cuddy, then at Megan. Reluctantly, he nodded.
"Why's that, Greg?"
"Why do you think?"
"I don't know," she replied, unfazed by his snippy tone. "I'm a doctor, not a mind reader."
She waited patiently for him to answer. After a few moments, he shifted in is chair and sighed. "I'm anxious because therapy isn't easy. Definitely isn't easy with my significant other in the room."
Megan nodded. She decided to leave it there with him for the moment, to give him a chance to try and calm his nerves, and she turned to Cuddy. "How have you been coping with everything? It must be a big, unsettling change for you, too, what Greg's going through."
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As far as the reason for joining the session, Cuddy was comfortable with the explanation Megan gave her. Cuddy wanted to understand House's therapy. She understood he had a right to privacy. She knew he needed to have some privacy. Confidentiality was very important between a therapist and a patient. House had to be able to trust Megan and Cuddy knew she couldn't insert herself into that relationship. Since she suspected House would be very reluctant to share anything from his therapy, she appreciated the opportunity to get some information from him and his doctor.
Cuddy watched the exchange between Megan and House, frowning slightly as he stubbornly refused to engage in conversation. God, she'd known he wouldn't be cooperative but he was practically nonverbal. She had to clasp her hands tightly together in order to keep from speaking out herself and trying to nudge him into talking. That wasn't her job, not today, not here.
Her frown deepened momentarily when he told Megan it was hard for him to talk with Cuddy in the room. It was disheartening to know he still wasn't comfortable being open with her. She told herself that was partly because of where they were and the presence of the doctor. The rest of the reason, well, hopefully that's part of what they'd be working on.
"Coping?" Cuddy said, turning to look at Megan again. "Well, I keep busy. My job is pretty demanding and I've got to get ready for the baby. As long as I keep busy, I don't have time to feel lonely or worry about...everything." She paused, then, to carefully consider what Megan had said. "It is a big change. It's...difficult. But I actually feel better in a way knowing he's here." She tried to smile but she couldn't hold it for more than a couple of seconds. Her feelings about this whole situation were probably not as confused as his but she did have to struggle with wanting him home and wanting him to get better and feeling badly he couldn't get better and be at home.
"I'm not saying I'm glad he's here, but at least as long as he's here, I know he's safe. I know he's getting help. That helps me cope."
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"Absolutely," Megan agreed, nodding at what Cuddy was saying. "It must be very hard for you, especially considering the circumstances--" she gestured to Cuddy's belly "--but you're right. Greg is safe here and he's getting the help he needs.
"And Greg and I have worked out a plan about his stay here," she continued. "We've talked a bit about what he wants to achieve in here and where to go from here when he's ready to leave. The plan that's in place is that he'll be here until he's settled on his medication, until we've got the nightmares under control and his mood picks up. As well as working here, I have a private practice about fifteen minutes out of Princeton; once I feel Greg's ready to leave, he'll be under my care with ongoing weekly therapy sessions at my practice."
Not wanting to get too sidetracked, Megan turned to House. "And you're happy with that, aren't you, Greg?" She waited for him to acknowledge her and when he nodded, she continued. "I take it you listened to what Lisa had to say. How do you feel about what she said?"
House looked at her and made a shrugging motion with his hands. "What am I supposed to feel? Happy?"
Megan fixed him with a bland smile, silently communicating to him that she wasn't going to tolerate his bullcrap. "This will go in everyone's favour, including yours, if you contribute to this session."
"I am contributing."
"Contribute constructively. If you don't want to contribute constructively, then tell me why you're choosing not to."
Sometimes, House really hated Megan. He drew in a deep breath and looked away as he exhaled. "What am I supposed to feel?" he said again, in a relenting tone this time. He looked back to Megan. "Glad that Cuddy's supportive? Sure. I'm glad she's supportive. But I'm in here. I'm not particularly happy that Cuddy's got to see me in here. I'm not at all happy that I might still be in here when my kid is born. How's that for an introduction to fatherhood? Locked up in a mental asylum while my girlfriend gives birth to our kid and has to keep on 'coping' and pretending she's perfectly okay with me being in here."
He looked away. All of that had come out in a rush, his tone getting more worked up with each word. Megan regarded him silently for a moment and then she turned to Cuddy. "Lisa, what are you hearing Greg say?"
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Of course, how cooperative House would be remained to be seen, because he certainly didn't seem very willing to participate at the moment. Megan was having to drag responses out of him. That only reinforced the fact he needed a therapist. Megan seemed to have the patience and persistance to deal with his uncooperative attitude. Cuddy hated to admit it but knew she wouldn't have that kind of patience.
"Yes." She thought it was obvious she'd been listening to House, but Megan seemed to want more of a response. Was she supposed to be hearing some hidden message? Cuddy thought House's response had been pretty straightforward. Maybe she was supposed to do that active listening thing to prove she'd not only heard, but understood.
"He's upset about being here." She hesistated, thinking back to some of their conversation on the previous Saturday, and amended her statement slightly. "He's ashamed of being here. He thinks he's failed, that he's letting me down, and the baby." She turned her head to face House directly. "I've already told him I don't think he has any reason to be ashamed. I don't see this as a failure. Yes, it's happening at a bad time with the baby just weeks away, but we'll manage." She looked back at Megan again. "It's not like there's a 'good' time for something like this."
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Then she explained, "The reason I asked you is because it's important that Greg hears it coming from you and not just me. It's very easy, and quite typical, for a patient to feel disconnected from their loved ones while in hospital, doesn't matter how often their loved ones visit. And that's part of the reason why I wanted you to come in today because therapy is about open communication, which is extremely important in the recovery process. And also, therapy is about bridging a gap - or many gaps - in a patient's mental wellbeing and it's important that Greg is reminded that you're with him every step of the way."
House rolled his eyes to himself. It bugged him how Megan could pinpoint certain things about him with accuracy. He didn't like acknowledging that she was right, which landed him in a fair few confrontations with her. She was the no-bullshit kind of therapist who was also annoyingly polite; the combination got on his nerves at times, especially when Megan didn't let him get away with anything.
"Greg, how do you feel about what Lisa just said?" Megan asked.
House looked at Megan, then at Cuddy. He shrugged. "Good, I guess," he replied. "At least someone doesn't think I'm a failure."
"Who else do you think would?"
House could think of a couple of people. But he answered, "What other people think isn't the point."
"Then what is the point?" Megan asked patiently. She waited for an answer and when he didn't say anything, she prompted, "Is that what you think of yourself?"
"No," he replied sarcastically. "I think I'm awesome."
Megan just nodded. Over the past couple of weeks of therapy with him, she'd learned that House was the kind of person whose answers had to be decoded through his deflections. But that meant it took extra effort to drag the honest truth out of him. She thought about asking him why he didn't believe Lisa but it was clear he was being uncooperative. She decided to try a different approach.
"Lisa," she said, turning back to Cuddy. "I've gotten to know Greg over the past couple of weeks but I'm interested to know how you see him. Tell me about Greg. Who is he to you? What do you love about him?"
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Her eyebrows shot up when Megan turned to her with a couple of new questions. "Well, you don't waste any time throwing me in the deep end," she said. Fair enough, she supposed. This is what House had to deal with every day and if she was going to participate in his therapy, then she had be willing to talk openly. She just hadn't expected to dive right into deeply personal issues.
"Well...." She honestly wasn't trying to stall. She needed a few moments to figure out how to sum him up in a few words. Or even a lot of words. Describing any person and their place in her life would be difficult; describing House was about as easy as understanding quantum physics.
"What he is to me is...a huge pain in the ass. For twenty years, he's been a pain in my ass." She looked at House with an apologetic shrug. Then she looked back at Megan, leaning forward in her chair as much as Junior would allow. "That's not all he is, of course, but in the interest of honesty, it has to be said that he is the most frustrating person I've ever had to deal with. And I'm fairly certain he'd say the same about me."
She leaned back, rubbing her hands over her belly. "The crazy thing is, sometimes I've needed someone to be a pain in my ass. House doesn't let me settle for mediocrity. Which is good but really annoying.
"As to what I love about him.... He has a lot of attractive qualities. He's incredibly intelligent. He's funny. He's creative. He's passionate about the things he believes in. And although most people never see it, he's capable of being very sweet and gentle." She hesitated, her hands stilling on her stomach. "If he weren't his own worst enemy, everyone would be able to see the things I see in him."
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He glanced between Megan and Cuddy while Cuddy took a moment to form her answer, then snorted quietly when she said he was a pain in her ass. Well, he'd always known that. She could be a gigantic pain in his ass, too. Frustrating and stubborn and way too headstrong sometimes.
Megan nodded, listening but also agreeing with what Cuddy said about House being frustrating. It didn't affect her in the way it probably did Cuddy - it was her job to help get him on the road to recovery but ultimately, that road he took was up to him to walk on. If he didn't want to do the therapy, if he was determined to sabotage it and himself, there was little she could do except try and talk him through it.
She turned her gaze to House to watch his reaction once Cuddy had finished talking. He was looking at Cuddy, a more thoughtful expression on his face than he'd had a few moments ago. She returned her attention to Cuddy. "It's good to hear your thoughts on him. Hearing a partner's view on how they see their partner is always helpful for me as a therapist, as it paints a bit more of a rounded picture of who Greg is besides what he lets me see in therapy."
She would turn her focus back on Greg soon but for now she was interested in what Cuddy had to say, and also had hope that engaging Cuddy in open discussion might coax House into opening up, too. She uncrossed her legs and crossed them again the other way, and settled her hands on her lap. "So, you've told me a bit about who Greg is to you, what you see in him and you mentioned that Greg is his own worst enemy."
She paused to work out how to properly phrase the question. "What would you like to see Greg get out of therapy and being in Mayfield? What are some of the things that concern you about him as his partner?"
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She shifted in her chair, trying to redistribute her weight--or rather, Junior's weight--more comfortably. God, she wished she could cross her legs normally like Megan was but the only way she could be truly comfortable was to spread her legs and sort of sprawl in the chair. That was tacky looking, though, and she hated looking tacky. So she tried to sit in a more 'ladylike' manner, sitting straight up with her knees together, even if the position meant she couldn't completely relax.
"That's a loaded question," she told Megan. If the therapist kept asking these kinds of questions, sooner or later Cuddy was going to say something House really didn't want to hear. She knew these were the kinds of questions that had to be asked but.... She gave House an assessing look. Well, so far he didn't seem too bothered. If anything, he seemed to have relaxed just a tiny bit now the focus had shifted to her.
"What I would like to see is.... I'd like to see him find some peace with himself." She stared directly at him as she spoke. She was a bit nervous with discussing these issues but at the same time, she wanted him to hear what she thought.
"As long as I've known House, he's always been at war with everyone and everything. But as I've gotten to know more about him these last months, I'm convinced the real war has always been with himself."
Her gaze faltered and she turned to look at Megan again. The idea of a House at peace with himself was appealing. It was also, she feared, not at all realistic. She couldn't imagine him ever letting his guard down that far but she hoped treatment would nudge him in that direction. Life would be easier for both of them if he didn't always feel at odds with the entire world.
"In more practical terms, I'd like him to learn better coping skills. He generally has very unhealthy ways of dealing with problems--like the Vicodin. That doesn't make the problem go away. It simply adds another problem and that only hurts him. And me," she admitted. "It hurts me. It hurts our chance at a future together. So yeah, definitely, that's what I'd like most--for him to learn some constructive coping skills."
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Though the attention was still on Cuddy, the attention was really on him as she answered Megan's question about what she hoped he'd get out of being in the hospital. He was back to fidgeting slightly, darting his eyes only fleetingly at Cuddy while she looked right at him. He got particularly uncomfortable when Cuddy raised the issue of the Vicodin and he didn't know where to look as she went on to say about how his way of dealing with issues hurt her.
"And that's definitely why he's in here. Or part of the reason, anyway," Megan agreed. "So Greg can learn strategies and coping skills which are beneficial to him and to those around him." She nodded and then laughed lightly to ease the mood a little. "You must feel like I'm bombarding you with questions," she added. "I understand this must be pretty full-on for you. But I want to try and address as many issues as we can in a single session. And in fact, if Greg's okay with it, I'll probably ask you to come back in for another session or two because there are a lot of things to cover. I won't even go into them now; I'll leave that to the end of this session, otherwise we'll get sidetracked."
She gave Cuddy a warm smile, then turned to House. "Would you be okay with having another session with Lisa a little down the track?"
House tensed slightly now that the attention had swung back to him. "Let's just get through this one first."
"Of course. We don't even need to discuss that this session if you don't want to. It's something we can talk about another day." She shifted in her chair. "What do you think about Lisa's thoughts on you being in here?"
"I think I've been enlightened," House replied sarcastically. Megan didn't react; she just watched him impassively, waiting for him to respond properly. He let out a relenting sigh and looked down to his lap. He was still jiggling his leg and he was twiddling his thumbs where his hands were resting on his thighs. "Cuddy is right," he conceded. He awkwardly drew in a deep breath and looked over at Megan. "I'm in here because... I thought I was coping."
"What made you realise you weren't?"
"We've been over this."
"I know we have. But I think it's important that you talk to Lisa about these things, too."
"She knows what made me realise I wasn't coping," he retorted.
"Does she?"
He stared at Megan, another stab of intense dislike for her burning in him. He didn't want to relive that Friday night she'd found him on the floor with the empty pill bottle. He didn't want to relive any of the moments in the past several months where he'd lost grip of himself. He sniffed and rubbed his nose. "I didn't want to become an addict again," he admitted reluctantly. "But I was slipping back into old habits."
"When did you realise you were starting to do that?"
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"What, ending up in here isn't a good enough hint?"
"You made the decision to come here," Megan reminded him. "No one else made that decision for you."
He fidgeted his fingers together. He glanced at Cuddy, then looked away. "I knew all along. But I thought it was something I could manage on my own."
"Is that part of the reason why you feel like a failure for ending up in here? Because you thought your way of coping would work?"
"My way of coping never worked," he said, looking back to Megan. "But it helped me manage."
"So, you feel like a failure because you didn't feel you were managing," she surmised.
"If I was managing, I wouldn't be here."
She nodded. Then she gestured to Cuddy. "How does it feel to hear what Lisa had to say about you?"
He replied dryly, "That I'm a huge pain in her ass? I can't think of a bigger compliment."
"Does that remark bother you?"
"Why would it? She's a huge pain in my ass, too."
"She can't be that much of a pain in your ass if you're willing to have her here today," Megan said. "It was your decision to have her attend this session, not mine."
He looked over at Cuddy. He sniffed, his nose starting to run again, and turned his gaze away, Megan's remark unanswered. Megan decided the lull was a good point to bring Cuddy back into the conversation. She looked at her. "Is there anything you'd like to say to Greg at this point?"
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She was relieved when Megan turned the focus, and the questions, on House. It gave her a chance to take a breath and organize her own thoughts a bit. Besides, he was the patient here. Ultimately he was the one who needed to understand his own feelings and behavior. Cuddy could talk until she was blue in the face--and had at times--but it wouldn't make any difference if he didn't look inside himself for answers.
Cuddy wanted to hear his answers as well. She knew some of what went on in his mind but not nearly all of it. She was disappointed to see he was being just as evasive with Megan as he was with her. He tried to deflect her questions and when he did answer, it was grudgingly and with as little information as he could manage.
She'd been watching him intently, trying to read his thoughts and feelings as he squirmed his way through Megan's questions. Having the conversation turned back to her took her off-guard...again. She shifted in her seat again, this time trying to get Junior's foot out from right under her rib cage.
Did she have anything she'd like to say? She had lots of things she'd like to say but it would take more than this one session to say it all. She tried to narrow it down to the most important issues.
"First, I hope 'pain in the ass' isn't the only thing he's heard me say today," she said finally, giving House a wry look. It's not like that was news. Hell, he took pride in being a pain in the ass. It wasn't a particularly important issue right now, though. If anything, it was merely a symptom of his deeper issues.
"I suppose the most important thing I'd like to tell him is to stop fighting the people who want to help him. He won't let me help him and that's understandable, I guess. I've probably caused as many problems as I could ever fix." Cuddy was looking down, her hands clasped tightly over her belly so she wouldn't fidget. It was difficult for her to admit she couldn't help. Even more difficult to admit she was responsible for some of his problems. She was trying to focus on the heart of the matter, though, and that wasn't about her. It was about House.
Without realizing it, she changed from speaking to Megan to directing her comments to House, lifting her eyes to look at him. "You're smart enough and stubborn enough to resist any attempts they make to help you get better. But what's the point in that? You made the decision to come here and get help. So please, let them help you."
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House frowned when Cuddy turned to him to talk. "I am letting them help me," he argued. "What, do you think I'm here to have fun? So I can have a vacation?"
"Greg," Megan quickly interjected. She'd learned over the last couple of weeks just how confrontational and argumentative House could get. The quickest way to diffuse him, she'd found, was to intervene before he got a chance to get too worked up. "I don't think what Lisa was implying was meant to be an attack. She was merely expressing a concern."
"But she's not here to see what I do or don't get up to in these sessions," he said, turning to Megan. "How would she know whether I'm letting you quacks help me or not?"
Megan gave a patient sigh. She was getting used to the different barbs House threw at her, not that she hadn't heard all kinds of insults in the past already. "Because she knows you. I doubt she'd make such a statement if there wasn't any truth to it."
House muttered under his breath and turned towards Megan's desk to swipe a tissue from the box to blow his nose. Megan waited until he'd finished doing so before she asked her next question. "I'm interested to know why you got so defensive at what Lisa said to you."
"Of course you are," he said under his breath, wiping his nose again.
"What is it about Lisa expressing concern for you that bothers you?"
"It doesn't bother me."
"You seemed pretty bothered just then," she pointed out.
"Because..." House let out an exasperated sigh. He looked down at the tissue in his hand. A moment later, he looked back up to Cuddy. "Because it bothers me that you doubt me," he said to Cuddy. "If I didn't want help, do you think I would stay here? Yes, I made the decision to come here. I also have made the decision to stay here. I even made the decision for you to be here today. This isn't going to happen overnight. I'm still trying to deal with the fact that I've hit the point that I need to be in here. I feel ashamed that I'm in here. I'm ashamed that I've hurt you. Us. Do you think I enjoy sitting around, discussing my failures and my flaws, and that I'm faced every single day with the fact that I'm here because of those failures and flaws?"
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"You did make the choice to commit yourself and I know that wasn't easy," she said, not waiting for Megan to direct the conversation. Cuddy didn't know if that was breaking some kind of therapy rule but she wanted to respond to what House had said before the conversation could get sidetracked.
"I'm glad you made that decision. I'm proud of you for facing up to the situation and trying to do something about it. And I don't doubt you about that," she said earnestly. She leaned forward again, hands braced on her knees as she got closer to him.
"But I'm sitting here and I'm watching you do what you always do--being sarcastic, deflecting questions, even calling Megan a quack. To me that looks like you're still resisting help. Maybe I am expecting too much, too soon. I know it's up to your doctor to determine if you're making progress but...." She hesitated, letting out shaky breath and sagging back slightly in her chair. "You know I'm afraid of losing you. I'm scared to death of the damage you can do yourself." She raised her hand to her forehead and rubbed at the tension she felt settling in. "I need to believe this is going to work."
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Megan was looking between Cuddy and House the whole time and she observed the change in House's composure. She waited for him to respond. "Greg?" she prompted. "What do you think about what Lisa just said?"
He still stayed silent for a few moments. He was trying to sort through his thoughts but it was hard when the feeling inside him was slowly building in pressure, making his throat feel even tighter and his chest to feel constricted.
"Greg?" Megan prompted again gently.
He looked at her, then at Cuddy. "I'm trying to believe this will work, too," he said. "I know what I'm like. The reason I chose to come here is because I know what I'm like."
Megan waited again for House to continue. When he didn't, she asked, "And what are you like, Greg?"
"Destructive," he snapped at Megan. "Miserable. Stubborn. I push people away. I'll do everything it takes to shut people out."
"Even someone you love?"
"I've done it once before. Pushed someone I loved away until she left me."
Megan nodded. "Are you afraid you'll do the same to Lisa?"
"I already have," he replied sharply, his voice a little louder.
"Why do you think that?"
He gestured to Cuddy with an anguished throw of his hand. "Do you think she'd be telling me she's scared to death of losing me if she didn't already feel like I was pushing her away? She doesn't even believe this is going to work, that me being in here is going to work."
"It sounds like you don't believe that, either," she pointed out. "If you don't have faith that you can pull through this, why should Lisa believe you when you tell her not to doubt you?"
House stared at Megan. He tried to think of an answer but he realised she'd led him right into a dead end. He licked his lips and looked down, then shook his head. "I don't know," he murmured.
Megan leaned forward. She stretched a hand out and laid it on his knee to get him to look at her. When he did, she drew her hand away again. "You may not like hearing this but Lisa is right. The only enemy you have is yourself. I'm not your enemy; I'm on your side. Lisa is on your side, too. Have you thought that maybe the reason she tells you these things isn't because she's doubting you, but because she's on your side?"
She nodded towards Cuddy. "In fact, it sounds to me like Lisa has a lot of faith in you. I'm pretty sure that if she didn't have faith in you, she wouldn't be sitting here, telling you that she's afraid of losing you."
"How is that faith?" House shot back.
"It's faith, Greg, because she hasn't given up on you." She looked over at Cuddy with a prompting look, giving Cuddy the chance to voice anything she might want to say.
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He hadn't pushed Cuddy away yet but he'd come damn close. She didn't know what her limit was, how far he'd have to push her to make her finally leave. That night at the bed and breakfast had obviously hit the wrong note with her. She had put up with a lot from him but returning to drug abuse and everything that entailed--that was too much. That was a point at which she had to separate herself in order to save herself and the baby. And yet, here she was sitting in on his session in a psychiatric hospital. If that didn't show some kind of faith, she didn't know what would.
"How many years have I protected you?" she asked him when Megan silently prompted her to speak. "It's been a long time. I've protected you from patients, lawyers, other doctors. Of course, I was really protecting you from yourself because you were the one creating the problems with all those other people but still, I've done my best to keep you doing what you love to do."
She gripped the arms of her chair nervously, wondering if she could make him understand she didn't ever want to lose faith in him. She didn't want to leave him. But he had to have a little faith in her for that to happen.
"I did all that because I didn't want to see you self-destruct. I didn't get anything out of it for myself." She paused to bite at her lip, looking at him before she plowed ahead. "Do you really think I'm going to leave now? I'm in love with you. We're having a baby together. I have far more reasons to fight for you now than I ever had before.
"I'm doing my best to believe this will work. I need you to believe in me, too. I'd like you to have a little faith in me when I tell you I'm willing to do whatever I can for you and for us."
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He slowly shook his head.
"Do you believe Lisa when she says she's willing to do whatever she can for you?"
He hesitated, then nodded.
"Tell me about that. Why do you believe her when she says that?"
He turned to Megan. "What, you're saying I'm not telling the truth?" he asked defensively.
She held her hand up. "No. That's not what I'm saying. I'm simply trying to guide the conversation."
House sighed. He lifted a hand and rubbed his chin and his forehead. That tight feeling was still squeezing at his chest. Part of him wanted to simply get up and leave the room. Part of him wanted to get up and approach Cuddy and pull her close to him because he didn't know how to convey how he was feeling or thinking.
"I believe her because--"
"Don't talk to me about this," Megan interrupted. "Tell Lisa. She needs to hear it more than I do."
He looked over at Cuddy. He jiggled his leg and fidgeted his hands together before he sat a little straighter. "I know you're willing to do whatever you can for me. For us. I know this because... you've stuck by me much longer than I deserve. That either means you're very stupid... or it means you love me deeply."
"Why would her sticking by you be stupid, Greg?" Megan asked.
"Because... I've lost count how many times I've hurt her," he admitted to Megan. "Why would someone stick around someone who hurts them all the time?"
Megan glanced at Cuddy, then back to House. "Greg, did you listen to what Lisa said about you earlier? About the things she loves about you?"
"Yeah. Said I was a pain in the ass."
"She said more than that, too," she replied pointedly. "She told me a number of good things about you. She said you're funny, passionate, creative, loving." House wanted to squirm. He clasped his hands together tightly on his lap. "Do you really think she'd say all those things about you if she didn't love you?"
"I know she loves me," he argued.
"Then why did you focus on the one negative thing she said about you? That you're, as she said, a pain in the ass?" She waited for him to respond, then prompted, "Is it because you have a hard time believing there are good things about yourself?"
"Of course I have a hard time believing it," he snapped at her. "I don't even like myself. I hate myself. I hate who I am. I hate..." He looked away with a slightly shaky sigh.
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Yet at the same time she understood what Megan was doing and recognized that ultimately it was going to be helpful. She recognized Megan was not allowing House to deflect. She kept him on task in a firm manner but she didn't become emotionally involved. Cuddy knew that was necessary. Neither she nor House could be objective on sensitive topics. They needed a dispassionate guide.
She let out a frustrated sigh when House said she stuck by him because she was stupid. Of course, he'd say that. He seemed to believe it was impossible for anyone to want to be with him, no matter how much evidence there was to the contrary. Sure, he also said it was possible she loved him but she'd been with him long enough by now to know he wouldn't accept it was unconditional love, or as close to it as humans were capable of.
"House," she called softly when he said he hated himself. "Please don't say that." Instinctively she reached for him. She had to scoot her ass to the edge of the chair and lean forward, squishing Junior, just to place her hands on his knees but she needed to have physical contact with him.
She threw Megan a pleading look because she didn't know how to convince House he was worth loving. She'd tried before and he never seemed to fully believe it. She pressed on without waiting for Megan, though, because she also felt like House needed to hear it from her even if he didn't believe it.
"I love you, and I'm not stupid." Her fingers clutched into the fabric of his pants, a film of tears in her eyes as she looked at him. "That means there's something about you worth loving. If you can't believe anything else I say, you need to believe that."
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