When they arrived, Alec walked into the room, made a beeline for the couch, and flopped aggressively onto it. "I am terrified of being still," he announced, staring at the ceiling.
"I take it this is in answer to my last question. Can you tell me why you are afraid of being still?" Dr. Hepburn asked, walking around to her chair and taking a seat.
"Because... if I'm still... then it feels like I am going to fall down a rockslide down into the gaping chasm below," Alec admitted. He paused long enough to grab the pillow at his feet and hugged it. "I can't slow down. I can't sit still. I can't be still. I can't remember when it started, but the feeling of the darkness has been there in the back for a long time. It's been getting a lot worse lately, but I don't know why. I can't seem to ignore it as well as I used to. It's just... always there. Hungry. Waiting for me to trip up and fall." He took a shaky breath, determined not to cry this time. "I guess it's depression, but I don't want to be depressed. I don't want it! I can't be depressed! I like life. I do. I like all the good things in life, but sometimes... sometimes I just want to stop fighting and let it happen. Let myself get eaten and just... stop existing. I don't mean end myself on purpose, just... Not be anymore. I know it doesn't work like that, but that's how I feel."
Dr. Hepburn got up and quietly fetched the unicorn from the cupboard. She handed it to him and sat down again. "I am proud of you for being honest both with me and with yourself," she said gently. "It's not easy. Well done." She sat back and gave him a moment to hug his unicorn and breathe. "Why are you so afraid of depression?"
"I'm not sure," he admitted, fiddling with the unicorn's hair. "It's just scary to me. I don't want to be depressed, not like Ba. And I can't be. I mean, isn't that why people go to therapy? To get cured from depression? But it sure is taking a long time."
"Your father has been depressed for a long time?" she asked.
Alec shrugged. "I guess so. He says he is. You know, the whole 'can't be happy' thing from a couple of sessions ago. But he's been in therapy, um, ten years? I think? Something like that? A long time. So why isn't he better?"
Dr. Hepburn made a few notes. "Do you know much about depression?"
"People get really sad, some stop wanting to live, and I guess some people hurt themselves."
"That is the absolute basic definition, yes," she admitted, "but it is a lot more complicated than that. Let's think about depression as a sort of disease for a moment, okay?"
Alec turned his head to frown at her. "A disease?"
"This is just a metaphor. It is not really a disease," she assured him. "Anyone can be affected by depression at any time. For some people, it is like a cold. It comes about because of outside factors. Maybe they are having a hard time at work or home. They struggle for a while, but eventually, the depression resolves itself. For others, it's more like the flu. Maybe a precious pet or a dear friend or family member dies or something else tragic. Some people are hit very hard by the flu, just like this depression, but for some, they can take care of themselves and heal alone. Others might need help, like a doctor's visit or hospital stay for the flu, they might need some help for their depression, and eventually, it heals and goes away. If they don't get help, then they might get worse to the point of death. Do you understand so far?"
Alec nodded. "I think so. And I guess like the flu or a cold, the little depression might come back because you can't completely heal and never catch a cold again. But you can try to do things to help prevent it, even if nothing is 100%?"
"Very good. Now, for some people, depression is like diabetes. Do you know much about diabetes?"
"You get it by eating too much sugar?"
"For some, yes. There are two basic types: One you are born with, though you might not know it for a few years, and one you essentially create with poor diet or similar. For both types, once you have it, you cannot cure it. You can only manage it. For some, it is not too bad, and they can do quite well with diet and exercise. For others, it is much more severe and they need insulin. Sometimes, for both, they might get a sugar crash or a sugar high that- hopefully - temporarily affects them in a negative way, and they need more help for a while then they would on the daily."
Alec frowned thoughtfully at the ceiling as he played with the unicorn's horn. "So... my Ba... he might be like a diabetic depression? He'll always have it forever, but some days he'll feel better than others?"
Dr. Hepburn gave a little nod. "Precisely."
"Was I born with it? Does it matter if I was born with it or contracted it?"
"I cannot answer that just yet, and it might matter, but, again, I cannot answer it just yet. Your depression might not even be the 'uncurable' type, if you will, but we cannot know that until we begin to face it."
Alec heaved a sigh. "I don't want to be depressed. I don't want to feel this way."
"Very few people do, but ignoring it only makes it worse, just like with diabetes. Not taking the steps to try to help yourself and ignoring it can lead to some very severe problems," Dr. Hepburn told him.
"I'm gathering that." Alec raised his hands and rubbed his face. He gave the unicorn a tight squeeze, not saying anything for a long time. Dr. Hepburn allowed him to be silent in that time until he was ready to ask her, "So. What now? How do I treat myself? How do I face it?"
Dr. Hepburn smiled at him.