They All Fall Down

1

Hannah

Charlie cut her wrists last week with a shard of caramelized sugar.

We’d made the sugar sheets together in the clinic’s kitchen earlier in the day, under Joni’s beady-eyed supervision.

‘Yours are thick enough to do yourself an injury,’ I’d said to Charlie, as a joke.

‘I wonder if that’s what gave her the idea,’ Odelle commented afterwards, pointedly.

After Charlie died, Bake Off went on the banned-programmes list.

I don’t feel guilty, though, because I don’t think Charlie killed herself. Just as I don’t think poor Sofia killed herself. In a high-suicide-risk psych clinic like this, people die all the time. It’s one of the clinic’s USPs. That’s what makes it so easy for a killer to hide here, in plain sight. That and the fact that the only witnesses are us, and no one believes a word we say.

You don’t have to be mad to live here but. . . oh, hang on, yes, you do.

I’m frightened. I’m frightened that I’m right and I’ll be next. I’m even more frightened that I’m wrong, in which case I’m as crazy as they all think I am. Shut away in here, the only escape is in my own head. But what if my own head’s the most dangerous place to be?

Stella comes into my room and lies across the end of my bed without speaking. Her skin is stretched tight over the sharp points of her cheeks and I can’t look at it for fear it might tear.

‘It’s not true,’ I tell her.

My room is at the side of the building. I am sitting by the window in the beige armchair, looking out across the rose garden to where a half-hearted rain is drip, drip, dripping from the flat roof of the dance studio and running down the wall of folding glass doors. All the furniture in my room is a variation on beige. Ecru. Biscuit. Stone. The whole of the upstairs is the colour of a surgical bandage. To avoid us getting over-stimulated, I imagine. Not much chance of that in here.

Stella turns her head so her wide blue eyes are fixed on mine. The necklace she always wears has fallen to the side so that the tiny silver cat seems to be nestling into the duvet.

‘How do you know?’ she says at last, in her soft, smoker’s voice.

I frown at her.

‘Come on,’ I say. ‘It’s Charlie.’

‘Was,’ she says. And starts to cry.

The Meadows is an old Georgian-style country house, complete with ivy growing across the front and elegant floor-to-ceiling sash windows. From the semicircular gravel drive at the front you might imagine yourself on the set of a Jane Austen adaptation where at any moment the grand front door will burst open to disgorge a gaggle of giggling young women in bonnets. But drive around to the car park behind the house and the impression is ruined by a large modern extension stuck on to the back, giving the overall effect of a stylish man with a bad toupee.

All the consulting rooms and the day room and admin and therapy rooms are in the old part, while the cafeteria and the bedrooms are in the new bit. Sofia told me once the old part was haunted, but I’ve never sensed anything weird. Mind you, I was so numb when I first arrived a ghost could have climbed right on to my lap and I wouldn’t have registered it. The thing about staying in a place like this, where we have group therapy twice a day and keep journals detailing our every thought, is that we’re so busy gazing inwards we’re blind to what’s going on all around us.

Which might explain how two women have been killed and nobody seems to have noticed but me.

The art therapy room is at the back of the old house with two huge windows giving out on to the car park and beyond to the flower garden and then the vegetable plot. The jewel in the Meadows’ crown – the manicured lawn leading down to a lake that is disproportionately large and deep, a legacy of an earlier, grander incarnation of the house – is hidden from view by the ugly jut of the new extension on the left.

It is ten o’clock on Wednesday morning and we are at art therapy. Laura gets out the poster paints and asks us to do a self-portrait. The last time we did this exercise she gave us mirrors made of plastic instead of glass, so our reflections were smudgy, like we were looking at ourselves through smoke. ‘Sorry,’ she said when we complained. ‘Regulations. You know how it is.’ But today is different.

‘I want you to paint yourselves the way you see yourselves when you close your eyes,’ she says. ‘Where are you? What are you doing? What are you wearing? Don’t overthink it. And don’t pay any heed to the camera. Just forget it’s there.’

The film crew – which most of the time consists only of director/presenter Justin Carter and his cameraman Drew Abbott – have been installed at the clinic for the last seven weeks, just one week less than me. I arrived on the third Monday in January, auspiciously known as Blue Monday, which is officially the most depressing day of the year, although, as you can imagine, competition for that title is fierce in here. Justin and Drew turned up the following week in an SUV loaded with equipment which they carted through from the rain-soaked car park, propping the door to reception open so an icy draught swept through the building and Bridget Ashworth, the clinic’s frowning admin manager, bustled about adjusting thermostats and ordering cleaning staff to mop up muddy footprints.

They’re calling it a fly-on-the-wall documentary. But Dr Roberts spun it differently: ‘An important film in breaking down the taboos surrounding mental illness,’ he said. ‘Of course, you are all perfectly entitled to opt out of the filming and at any stage you can be retrospectively edited out. But just think what your example could mean to a young woman going through what you’ve been through, feeling there’s nobody out there who could possibly understand.’

On the first day, Justin said, ‘Just imagine we’re not really here.’

‘That’s how most of us ended up in this place,’ Charlie told him. ‘For seeing things that aren’t there, or not seeing things that are there. You could seriously set back our recovery.’

Justin had smiled without committing himself to laughing, just in case it wasn’t appropriate, not understanding that appropriateness is something you leave at the door in here.

Today, in my painting, I am sitting in the low blue velvet chair in Emily’s room. Through the sash window behind me the sky is navy and I put in a perfectly round yellowy-white moon so it’s obvious it’s night-time. I am looking at something over to the right, out of sight. I’m wearing my pale blue dressing gown. My face is a pink blur, streaked with black because I didn’t wait long enough for the paint to dry before trying to do the eyes.

‘Nice dress,’ Laura says when she comes round to look. ‘Is that in your house? Your bedroom, maybe?’

I nod. I don’t want to tell her the truth because when I talk about Emily it gets noted down in a book and then I have to talk about it at Group. And then Dr Roberts will cock his head to one side and write something in his notebook and I might have to stay here longer. So I don’t tell her that the me in the picture is looking at the right-hand corner of Emily’s room, where her cot used to be.

Stella’s painting is all black, except for a tiny figure at the bottom, naked apart from her long, yellow hair, which reaches almost to the floor. Laura looks at it for a long time and then puts her hand on Stella’s narrow shoulder and squeezes before moving on to someone else.

Since Charlie died, all Stella’s paintings have been black.

As usual, Odelle has painted herself hugely fat. She’s wearing the same black top and skinny jeans the real Odelle has on today and is looking into a mirror in which a slimline version of herself is reflected back. Or maybe it’s the other way around and the slim Odelle is the real one and the fat one the reflection. Either way, it’s just another variation of Odelle’s sole enduring theme. Herself and her body.

‘It’s very . . . narrative, Odelle,’ says Laura. Odelle glances towards the camera at the back of the room, wanting to be sure they are capturing this. ‘But just once, I’d love to see you really let rip. This exercise is about here’ – Laura taps her chest lightly – ‘not about here,’ tapping her head.

The mild rebuke sets Odelle’s bottom lip trembling. Odelle tends to fixate on people. That’s one of the reasons she’s in here. That and the fact she weighs around eighty-five pounds. When Charlie first arrived, Odelle apparently fixated on her too for a short while, following her around, sitting too close to her at dinner and on the sofa in the lounge. But mostly it’s authority figures she goes for. Roberts is basically God as far as Odelle is concerned, and Laura comes a close second. Odelle’s always loitering in the art room after class, offering to help clear away or asking for extra, one-to-one help.

The Meadows believes in niche therapy. We have people who come in to cure us through horticulture, music, baking and movement. Last week, Grace, the aptly named movement therapist, had us fling ourselves around the dance studio pretending to be leaves blown about by the wind and Odelle actually cried. ‘I feel so insignificant,’ she said. Judith said the reason Odelle got upset was probably because she really did get blown about by the wind, on account of weighing so little.

Basically, nothing happens in here that can’t be turned into some kind of therapy. There’s even recreational therapy, which really means watching TV. Charlie and I had a running joke about that. Instead of asking if I was going to dinner, she’d say, ‘Are you coming to eating therapy?’ One time, when I was late down to breakfast, I said I’d been doing some ‘pooing therapy’ and we laughed for about ten minutes, until Odelle told us we were being childish and also ‘insensitive’ to all the people in here who ‘can’t find much to laugh about’.

But Laura is the therapist people get closest to. She used to be a nurse in her younger days, and she still emits that I-can-make-you-better aura. She has her own little office at the back of the art room, with a fan heater and a kettle and several different types of tea, and you can pop in there and curl up on the armchair and wrap yourself up in the soft woollen tartan throw for a chat without feeling like what you say will be noted down in your file somewhere. Laura can be a little bit new-agey. For those who are into that sort of thing, she offers informal meditation or relaxation therapy, which is basically hypnosis. Charlie used to love it in there. ‘It’s the only part of the clinic where I can be myself,’ she told me once. Odelle nips in there at any opportunity. She installs herself in the armchair, with the tartan blanket wrapped around all those other layers she habitually wears, and discusses her favourite subject. Namely, herself.

Laura spends a few moments murmuring something to Nina, who is slumped in front of a piece of paper which is blank apart from a faintly drawn oval. Last week in art she produced seven paintings in one class, her brush flying over the paper, colours bleeding into one another, but today she can hardly summon the energy to lift her stick of charcoal.

Frannie is crying again, tears tracking slowly down her cheeks, and she brushes them away as if she hardly notices them. Her painting has two figures in it, which, strictly speaking, is cheating, but no one is judging. Firstly, there’s a huge face with a long, fine nose and a small, full mouth and massive green eyes. The face is Frannie’s, and in one of the eyes is another face. It’s too small for the features to be identifiable but the black curls mark it out as Charlie.

‘Because she’s in your thoughts?’ asks Laura.

My chest feels tight when I look at the straight brown bob Frannie has given herself in her portrait, hanging just below her chin. The real Frannie is wearing a blue-and-white striped beanie hat, but underneath it her hair is sparse and thin with bald patches that break your heart, vulnerable as the soft part on a newborn baby’s head.

My baby was called Emily.

And now I don’t want to paint any more.

Later on, in Evening Group, we start, as always, by going round each one of us in the circle, reporting back on whether we’ve achieved the two goals we each set ourselves this morning. Mine were to start reading a proper book, as opposed to the celebrity magazines which are all I’ve read for the last two months, and to wash my hair. I failed at the first, the letters moving across the page like lines of tiny ants. But in the second goal I can claim some success, having dragged myself, finally, into the shower, so that my hair, while still a tangled mess, is at least clean for the first time in days. I hate myself for the glow of pleasure I feel when Dr Roberts says ‘Well done, Hannah,’ and everyone gives me a round of applause, as if I’ve climbed Mount Kilimanjaro or something.

After about half an hour we go back to talking about Charlie. Odelle shares a story about when she first arrived here and was missing her family and had just gone through her first meal with someone sitting next to her monitoring everything that went into her mouth and was curled up on her bed, crying into her pillow – Odelle holds a hand to her face to demonstrate, visibly moved by her own story – and Charlie knocked on her door and sat on the end of the bed and chatted to her, and even made her laugh. That was the thing about Charlie. She could say things to make you laugh so hard your tea came out of your nose. Then she’d go back to her room and make bite marks on her own arm. Of all the people I’ve met in my life, she was the one who was most forgiving of others – and the least forgiving of herself.

‘But she didn’t kill herself,’ I say, when it’s my turn to speak.

Dr Roberts sits back in his seat with one leg crossed over the other at the knee and one elbow hooked over the back of the chair. He has a pen in his hand and he clicks the end in and out as he listens, and nods. His eyes are narrowed so I can’t see them, but I know they are blue in some lights and green in others. His hair, brown but liberally threaded with silver, is swept back from his face, although a lock often falls over his left eye when he gets animated. His close-cropped beard is equal measures of silver and brown, and when he smiles, two dimples appear in his cheeks and the lines around his eyes concertina into folds a person could get lost in.

The transference rate – that thing where patients end up in love with their shrinks – is pretty high in our clinic.

‘It’s a very interesting theory, Hannah.’ His voice is warm and honey-coated. ‘But you know – we all knew – that Charlie was deeply, chronically depressed. Just because we loved her doesn’t mean we could help her. It’s inevitable that we all feel some sense of failure that we couldn’t do more, and failure is a damned uncomfortable feeling. It’s far preferable to imagine she was done away with against her will, because that’s not anything we could have prevented or seen coming. But the fact is, we weren’t responsible. There’s nothing anyone could have done.’

‘Yes, we have to forgive ourselves,’ adds Odelle.

I look around the circle, where twelve women sit on chairs, one leg twisted around the other, heads bowed, hands fidgeting. I see Frannie plucking at her almost non-existent eyelashes. She studies a hair and then pops it into her mouth. I see Stella staring impassively ahead through her widely stretched eyes. She’s wearing a powder-blue dress today that has a tight bodice and a flared skirt. I try not to look at the waist, made artificially tiny by the removal of a rib, nor at the painful swell of her surgically enhanced breasts. I see Odelle, who layers clothes on to her body like she is making papier mâché, leaning forward earnestly, sniffing for approval like a blind laboratory rat. I see Judith and Nina and the eight other inmates – service users, as we’re officially known – and Justin and Drew, shadowing our every move with the camera. And though my back is towards the door, in my head I see, through the safety-glass panel behind me, across the hallway and up the sweeping wooden staircase that leads to the plush consulting rooms, to where Dr Chakraborty, the clinic’s deputy director, sits in his office, reading through notes with his sad, brown eyes, while downstairs in the therapy rooms I see Laura and Grace and the other part-time therapists. At the back of the staircase, through the door that leads to the new building, and the cafeteria and kitchen and the Mindfulness Area and the tiny staffroom where the medicines are kept, I see Joni and Darren, the psychiatric nurses, clutching their notebooks, and Bridget Ashworth, the clinic’s brisk admin manager, and the well-meaning volunteers and the kitchen staff and the orderlies. All the people charged with keeping us safe. And then my gaze is pulled back here again and I see Dr Oliver Roberts, guru, Svengali, saint, sage, saviour.

Murderer?

It could be him. It could be any of them.

But it definitely happened.

I’d have to be crazy to make a thing like that up.

Towards the end of our session, at about seven thirty, I slip away while the others are still stacking up the chairs. After eight weeks here, the grandeur of the hallway, with its glass chandelier and vast oil painting of the earl whose home this once was, no longer comes as a surprise. No one uses the front entrance anyway, unless they’re an important dignitary or there’s a fundraising event going on. The main entrance is round the back in the new wing, where a receptionist checks in visitors and politely searches their bags under the gaze of a smiling Oliver Roberts clad in a formal academic gown in the act of being awarded some honour or other.

But when I go through the door that divides the old building from the new, I don’t go straight ahead, past the Mindfulness Area and the blond wood of the cafeteria, to where the vibrant orange reception sofa calls a cheerful greeting, as if to reassure visitors this is not a place conducive to dark thoughts. Instead, I take the first door on the left, which leads to the stairwell, with its muted oatmeal walls, and hurry on up to the bedrooms.

My room is the first on the left, but I walk straight past it and continue down the corridor, with its framed photographs of nature – a close-up of dew on a blade of grass, a feather floating in a muddy puddle, sunlight glittering through a canopy of green leaves. The photographs are caulked to the walls so that we can’t take them off and use them against ourselves, or each other. The very last room is Charlie’s room.

How many times have I made this journey between my room and hers over the last eight weeks? I’m surprised my feet haven’t made indentations in the strip wood flooring. Yet now I feel strange and unease prickles at the back of my neck. I glance up into the eye of a CCTV camera. The camera has always been there, but it is the first time I’ve really noticed it. Its unblinking stare makes me anxious.

Our doors don’t have locks. For obvious reasons. Even so, I’m surprised when Charlie’s handle turns. I hesitate before stepping inside.

I’ve been steeling myself to find her room cleared and emptied of all the things that made it Charlie’s. But it’s all still there – the blown-up photograph of her and her little nieces in her parents’ garden, their three heads dark against an explosion of yellow hibiscus, the lifesize cardboard cutout of Ryan Gosling given to her by an ex-workmate, the old-fashioned patchwork quilt on the bed, a riot of colour amidst the oppressive beigeness.

Yet whereas Charlie was notoriously untidy, with paperbacks piled precariously on the floor next to her bed, and jeans and sweaters strewn over the chair or heaped on the floor, the room has been meticulously tidied. The desk has been cleared of old newspapers and magazines and empty crisp packets, its white surface bland and clean. The bed, which was always messy, as if someone had just that minute got out of it, is now perfectly made, the quilt pulled taut.

I put a hand on the pillow and it feels smooth and unnaturally cold to the touch, like a bar of soap, and I snatch it back. I slide open a desk drawer. Empty, apart from a few pens and a pad of paper. The wardrobe has no door, its edges rounded in case anyone should decide to string themselves up from a sharp corner. I almost cry out when I see her fuchsia cashmere cardigan hanging on one of the weirdly shaped cardboard hangers, suspended from a rail designed to break under ‘undue weight’. How she loved that cardigan. She’d told me about a decluttering handbook her mother had given her in a not-so-subtle hint. Charlie had refused to read it on principle but had grudgingly flicked through, taking away from it just one thing – that you should only hang on to things that spark joy. ‘This here is my joy-sparking cardigan,’ she said to me.

Now it hangs on the clothes hanger, its empty arms drooping.

The absence of joy is palpable. Rather, again, I have that sense of unease, of being watched.

Charlie has a corner room, and I cross to the window on the back wall that looks out over the sloping lawn and, at the very bottom, the dark smudge of the lake. There are days when the sun is reflected on the surface of the water, making the lake appear to be lit up from within. But not today.

A radiator runs underneath the window. On especially cold days Charlie would throw a cushion down on the floor and sit cross-legged on the carpet with her back to the radiator. ߢI can never get warm enough,’ she once told me. ‘I’m like a chicken breast that hasn’t quite thawed out, with a hard, frozen bit in the middle that refuses to defrost.’

I drop to the floor and assume her position, trying to inhabit her skin, to feel what she felt. Did she really sit here that last day with the heat against her back and think about how best to slice into her wrist, the right angle, the right point? Is it possible I could have got it – got her – so wrong?

There was a time I was sure of my own judgement, trusted in myself. But that was before.

I hug my knees into my chest and rock gently for a while. Sometimes this soothes me, but there is something about this room without Charlie in it that makes me anxious.

I hear the soft thud of footsteps outside, and voices drawing closer.

‘We’ve cleared as much as we could, and I don’t mind telling you the place was a pigsty. But there’s a limit to how much we can do before the relatives turn up.’

The woman says ‘relatives’ as though it’s something not quite nice. I stop rocking abruptly, putting my hand down to steady me. My fingers brush against a piece of paper tucked away behind the pipe of the radiator which the cleaners must have missed. The footsteps stop outside the door and my mouth goes dry as I recognize Dr Roberts’ familiar baritone, sounding unusually clipped and impatient.

‘With any luck, they won’t stay long. Quick in-out, then we can get all her stuff bagged up. We’ve a new one arriving a week on Monday.’

The door handle turns and I’ve just time to snatch up the scrap of paper and stuff it up the sleeve of my sweatshirt before the door bursts open.

I scramble to my feet, my heart hammering.

‘Right. Let’s have a quick check over . . . Hannah! What are you doing in here?’

Instantly, Dr Roberts reverts to his usual slow drawl and I wonder if the woman with him, who I now recognize as Bridget Ashworth, has also clocked the change in his voice.

Bridget Ashworth has a severe brown bob with a grey re-growth line along the parting and glasses with purple frames and a dark wool jacket with what appears to be a single thick white cat hair on the shoulder. She clutches her lanyard and blinks behind her lenses as if she has surprised a wild fox rifling through her kitchen bin, while I shift from foot to foot.

Who would believe I used to give presentations to roomfuls of people, scanning the crowd and making deliberate eye contact with random strangers?

Now I keep my eyes on the carpet, but still, as I mumble some story about needing to feel close to Charlie, I sense Bridget Ashworth’s disapproving gaze crawl over me.

Even when I get back to the safety of my own room, I’m still scratching, trying to get it off.

2

Corinne

‘I thought she looked very well. Didn’t you think she looked well?’

‘I guess.’

Corinne decided to take that as a yes.

‘Definitely better, I thought. Didn’t you?’

‘Hmmm.’

Corinne knew she should stop talking. Danny never liked to chat straight after a visit. But still the words kept coming, almost as if she had no control over