trenchknives: (This one's a fighter)
Jimmy Darmody ([personal profile] trenchknives) wrote in [community profile] tampered2013-01-11 07:02 am

It seems so long ago...

When; Near the end of the ghoul curse, but before Wilson gets bitten
Rating; PG-13?
Characters; Jimmy Darmody & James Wilson
Summary; Jimmy needs to talk to Dr. Wilson about his problems, and he wants to do it in private.
Log;

Jimmy liked Dr. Wilson. Well, liked him as much as he liked any doctor, maybe a little more than the doctors he'd had back home, 'cause this Wilson guy seemed to listen to him, 'n the doctors back home had just brushed him off, told him it was all in his head.

So when he's finally ready to talk -- and nobody had pressured him into it, for once, although House had pretty clearly told him to seek help, so hell, he was -- he goes to Dr. Wilson. He's pretty sure he won't be judged. He's pretty sure, too, that Wilson has been expecting this ever since Jimmy showed up at the hospital with a bad case of... something. He'd thought it was sickness. Now he's starting to think it was probably something else, something he doesn't know how to deal with.

"Do you, uh, have a minute or two?"
dr_conscience: (Office // Patient talk)

[personal profile] dr_conscience 2013-01-12 03:45 am (UTC)(link)
Wilson's had some reasonably strong suspicions, ever since he and Penny went downstairs to meet Jimmy, that the majority of the issues at hand are mental in nature. Which, of course, isn't to say they aren't real; unquestionably, there are any number of physiological illnesses that are easier to cure, chronic conditions that are easier to manage, and injuries that are simpler to treat. He has no idea of what Jimmy's been through, of course, but he knows the warning signs of a panic attack when he sees them.

If it weren't for the number of patients on hand who are physically injured and/or fevered, he'd probably have tried to start this conversation himself. As it is, he's perfectly willing to take a few minutes when Jimmy comes to him. He can only hope the reasons that he's been sought out are what he hopes they are.

"Yeah, of course." No hesitation there, and one of his small, friendly smiles - a bit strained, under the circumstances. "What can I do for you?"
dr_conscience: (Prodding // Gauging)

[personal profile] dr_conscience 2013-01-13 02:41 am (UTC)(link)
Wilson nods, understandingly, as he takes that in. If House has gone so far as to actually tell Jimmy that he thinks it's PTSD, then he's probably right about it - and it certainly fits with what he's seen. While he definitely isn't a psychiatrist, everyone does do a psych rotation, and mental health is a considerable portion of treating cancer patients. Certainly, he has more than enough knowledge to be aware that the way you begin to approach PTSD is to let the person talk about it. That, he can certainly do.

"Well, PTSD - post-traumatic stress disorder - is something that takes a while to work through... typically, that involves dealing with the incident that caused the disorder. Talking about what you're experiencing."

And he doesn't even know yet what Jimmy's been through to cause this PTSD.
dr_conscience: (Conversation // Important)

[personal profile] dr_conscience 2013-01-14 02:57 am (UTC)(link)
He doesn't mind Jimmy not making eye contact, and he certainly doesn't care if Jimmy feels like swearing. As far as Wilson's concerned this is about Jimmy talking about what he's experiencing. However he needs to approach it is fine - that's on his terms.

"Well, a lot of people who go through wars come back with PTSD. It's caused by going through a situation where you're in a heightened state of anxiety, especially confronted with mortal danger. Day-to-day, the issues are what Dr. House described, and... in a situation like we've been in here, it can trigger that anxiety into an attack, that feels very much like you're sick. You can have difficulty breathing, an accelerated heartrate, dizziness, trembling, nausea... a number of symptoms that make it feel as if you're physically ill."

Describing it seems better than telling Jimmy outright that this is probably what he was going through. It works, in a way - House can handle the part where he outright badgers Jimmy into asking for help, and Wilson can take it from there and let Jimmy work past the denial on his own. And, of course, as something a bit simpler to respond to, there is a question on his mind.

"Which war were you in?"
dr_conscience: (Explaining // Earnest)

[personal profile] dr_conscience 2013-01-18 04:13 am (UTC)(link)
It's information that's volunteered as an overview - and not overtly assigned to his particular case, so that Jimmy is free to take that information and process it in whatever time he needs.

Jimmy does go for what he was expecting and even hoping, really, by latching onto the more direct and more easily handled question. He might have had a feeling that Jimmy was from a slightly different time than he was, but he hadn't really managed to place it yet. Really, you could blame that on the circumstances under which they've interacted so far. Who'd be paying attention to that right now?

"That is what we're calling it... and it's quite some time ago, where I'm from. Not that everything's changed - they are still eager to out those medals when soldiers are injured. But some things have made progress... plenty of people came back from the war with some very real problems. In the years since, a lot of focus has been placed on the issue of providing both medical and mental healthcare for veterans returning home. It's recognized now that PTSD, along with many other disorders, is a real thing. It is a kind of illness, and just because it can't be seen the way a physiological illness can doesn't make it any less valid, or its effects any less real."
dr_conscience: (Gentle // Inquisitive)

[personal profile] dr_conscience 2013-01-19 02:24 am (UTC)(link)
"Actually, at least where I'm from, there are some very specific laws about that. And... while I may not be in my own reality anymore, I do have every intention of continuing to follow those laws. So, I can't tell anyone about this. You have full confidentiality."

That's the easiest question to field, so he tackles it first. The far more complicated issue is the 'fix' that Jimmy is dwelling on finding. Of course it isn't that simple, but he can't help but be sympathetic toward the desire for a quick fix.

"As far as 'fixing' goes, the way this sort of thing is dealt with takes time. There are some medications that can be used, to help manage the anxiety, though it can take a while to figure out which works best, and if that's even necessary. Primarily, though... it's something that has to be worked through, by talking about the way you're feeling, what you're experiencing, and eventually confronting the issues at the root of the problem. Treatment also differs from person to person - it's just not as straightforward as physiological illness."

He's not even certain, yet, that he's capable of taking this on, but the fact that Jimmy has chosen to speak to him at least means he's dealing with it right now. It's a responsibility to deal with that kind of an approach in a manner that won't shut Jimmy down, and he doesn't take that lightly.
dr_conscience: (Down // Absorb)

[personal profile] dr_conscience 2013-01-22 01:17 am (UTC)(link)
The reluctance isn't hard to pick up on, and pushing is about the last thing that would help right now.

"Nobody's going to force you to say anything. You can talk about as much as you feel comfortable with. You can start with what you're going through now, here in the City - basically, anything that's bothering you."

Because forcing the topic is going to be highly counter-productive, and because you don't start at the root of the issue - you work your way back to confront that, hopefully, over time. But you start with the now, the day-to-day, managing the going forward before you go back.
dr_conscience: (The fuck // Chillin with x-rays)

[personal profile] dr_conscience 2013-01-25 04:38 am (UTC)(link)
"A lot of people saw some familiar faces among the ghouls."

He would know; he's included in that count. But that's not important, or relevant, in any way right now.

"The thing about curses - and often even more about the bigger ones like this - is that they often deliberately pick at the wounds each of us have. They're essentially targeted to be as disturbing as they possibly can be. But, the other thing about them, about the City, is that you can't necessarily trust anything that it shows you. Someone appearing in this kind of state here doesn't necessarily have any bearing on reality."

It's true, of course, and he's been here long enough to have seen the City pull off more impressive illusions. There's every reason to think it's a deception - even more as he hears each story like this - and he truly hopes it is. He's caught that fine, but he's holding onto it for now. Under the circumstances, it seems more urgent (and merciful) to point out the City's duplicitousness.
dr_conscience: (Working // Busy)

[personal profile] dr_conscience 2013-01-28 02:46 am (UTC)(link)
"Not everyone reacts to the same situation in the same way. That's nobody's fault, it's just a question of different people handling things differently. Not everyone who comes back from war, even everyone who's injured, develops symptoms of PTSD or any other disorder. At the same time, you won't typically be able to tell whether they have in most situations."

Which is point one, and probably the simpler to address. The issue of his fiancee, his child, that's a more complicated question.

"Usually, not thinking about something isn't nearly as simple as it sounds. Though I'd imagine you already know that."

A momentary pause there, he shifts slightly.

"You and your fiancee didn't have any fights or any problems, when you were back home? Most couples do, I mean, from time to time, and... the City certainly could decide to exploit of any kind of uncertainty or anxiety you're having."
dr_conscience: (Attentive // Patient)

[personal profile] dr_conscience 2013-02-04 02:34 am (UTC)(link)
"Things very rarely turn out to be what we thought they would be. And, after everything you've been through, all the time you've been kept apart, it's understandable that you'd have a difficult time settling into a normal life."

Relationship problems: there's an issue Wilson's no stranger to, and he can identify with that.

"Do you feel like it would be any better, if you weren't away from home so much?"

Of course, he's not assuming that it would be - it's an honest, straight question, because sometimes being away isn't the problem, but a symptom of the problem. With the probable PTSD, Jimmy's general anxiety and paranoia could make settling in to a normal domestic life difficult - and, under the circumstances Jimmy described, the relationship may very well be plagued by its own unrelated issues.
dr_conscience: (Talk // Emphatic)

[personal profile] dr_conscience 2013-02-13 03:19 am (UTC)(link)
"Well - obviously, there isn't much that you can do to try to make things better between the two of you while you're here. But... when you do go home, you should talk to her, about how you feel - about how both of you feel. Not when you've been fighting, but when you think you can have a conversation. Believe me, I know it's easier said than done, but... if you can talk about how you feel in your relationship, it'd be best for both of you."

Easier said than done, indeed. He knows that from experience - he'd rather go blow off steam with House than deal with his own relationship issues, but look where that's landed him. So much of that statement comes from experience, his own mistakes - Jimmy, though, has a whole other set of issues. He can imagine it'd be even more difficult for him to open up. But that's a neutral bit of advice, a suggestion - and it's one that he's not sure Jimmy will take back with him, to when and where he can do anything. Still, it might help him to hold onto it nonetheless... but there's another topic at hand, one that he thinks is even more important than his fiancee.

"But setting aside what she thinks - what do you think? Do you feel like you know your son?"

And all this, against the backdrop of the ghouls. The normality of the conversation is almost hilarious in context.
dr_conscience: (Look here // HEY. LISTEN.)

[personal profile] dr_conscience 2013-02-19 02:04 am (UTC)(link)
Well. That's certainly one of the buttons Wilson's going to make note of immediately. He had posed it as a question, not even an insinuation, and the anger that Jimmy's displayed in response to it speaks volumes - at least as much as the response that's reluctantly offered along with it. But it's an understandable reaction, given the situation, and the situation itself is understandable. Not that it makes it easier.

"That's a fairly common hurdle for families to deal with, when a parent is deployed for the beginning of a child's life. It's hard, but it's never anyone's fault, and there isn't anything that can be done about it after the fact. What's important is that you're trying... that you're there, going forward. You can only do anything about to affect the present going forward, and you're trying - you clearly care about him. He'll know that."

Leaning back, he takes a breath, shaking his head slightly, because... sometimes the removal across time he has with some people here is almost startling.

"And... for the record, the time I come from? Most families have vacuums, and a lot of kids are still scared of the noise. That's far from anything you should beat yourself up about."
dr_conscience: (tux // listening)

[personal profile] dr_conscience 2013-02-21 03:40 am (UTC)(link)
That does color things, a bit, though it's not an unusual circumstance. He considers it, taking a moment to gather his thoughts.

"It's natural to worry about repeating the mistakes that others have wronged us with, to think we might repeat them and make someone else feel the way that we did. That's part of being human, and it can keep us from doing some awful things."

And he pauses again, taking a breath as he considers it.

"Now... obviously, it'd be difficult for me to know how you are with your son, given that we're stuck in an alternate reality at the moment. What I can tell you is that everything you've said about him makes me fairly confident that he does have a father who cares about his welfare, and who cares about how he affects his son's life. When you do get back home, you can be there for him going forward, and that's what matters."
dr_conscience: (Gentle // Almost smile)

[personal profile] dr_conscience 2013-02-21 04:21 am (UTC)(link)
There is a small smile back from Wilson. It's a beginning, and there's a lot ahead still, but tackling these smaller individual issues and starting to not bottle things up - that's an important foundation to start putting down. And, of course, he's got plenty to deal with the zombies still, so... it probably is best to save anything more for another time. (Overwhelmed isn't a stretch for him to guess at.) He offers a nod, to the question.

"Of course. Anything that's bothering you, anything that you want to talk about, you're absolutely welcome to come to me with it."
dr_conscience: (Inform // Even)

[personal profile] dr_conscience 2013-02-24 10:23 pm (UTC)(link)
"No, I won't tell anyone else about anything that you've said - doctor or otherwise."

Jimmy does seem to have a rather optimistic view of things, but... somehow, Wilson doesn't think now is the best time to have a conversation about how involved and long dealing with this sort of thing can be. Take it as it comes, manage expectations along the way - or at least, as some point when there aren't zombies roaming the streets.