I’M GOING TO MAKE A RECOMMENDATION, BUT IF YOU TELL ANYONE I’LL DENY IT — a reprise, by Art Smukler, author & psychiatrist

Ten years ago, a 14 y/o boy (I’ll call him Brian) began treatment for depression and insecurity. Brian was an attractive, soft-spoken young man who was aware of feeling depressed, but had trouble articulating exactly why, except for the fact that he felt lonely.

A few months into weekly psychotherapy, he shared that he was being tormented while playing in a touch football game with other middle-school boys. Jack, one of the boys, kept knocking him down or hitting him without any provocation. Brian’s eyes filled with tears. “What can I do? I tried talking to him, but he just ignored me. I asked him why he was doing it, and he just laughed. We play every day at recess, and I really don’t want to stop because of him.”

“Any clues as to why he’s so mean?”

“None. I didn’t do anything.”

We spent the hour exploring all possibilities and came up empty. Towards the end of the session, I leaned forward in my chair and looked Brian square in the eyes. “Brian, I’m going to make a recommendation, but if you tell anyone I’ll deny it.”

“What? What do you mean?” Brian asked, obviously intrigued.

“I want you to knock Jack down, so hard, that he has trouble getting up. You’ve tried talking to him like a decent person. It got you nowhere. He’s not reasonable and not nice… Knock him down hard, but don’t kill him or break any bones.”

Brian just stared at me.

“Brian, you’re a really good guy, and what he’s doing isn’t fair.”

Brian just kept staring.

“Any other thoughts?”

Brian shook his head.

“Okay, see you next week.”

Brian nodded, stood up, gave me a sheepish smile, and left. I sat for the longest time staring at my diplomas. Did I do the right thing? There were no classes on helping nice kids battle playground bullies in my psychiatric residency.

The next week, Brian walked in the door, and before he even sat down said, “I did it!” He had a huge smile plastered across his usually worried face.

“What? What did you do? Tell me all about it!”

“We started playing and Jack went back to pass. I aimed my head for his stomach and knocked him down as hard as I could. When we were on the ground, I got on top of him and just stared him in the face. Then I got up and walked alone back to school.”

I encouraged Brian to tell me in detail how the whole thing went down. As the story unfolded, it became clear that Jack was actually on the same team as Brian. In effect, Brian had knocked down his own quarterback! I said, “Wow, that was really making a statement.” Then we both laughed and hi-fived.

It’s not often in therapy that there is a pivotal moment when things change. But, this was such a moment.

I treated Brian all through high school and saw him during holidays until he graduated college. Brian became an all-state wrestler in high school and was a varsity wrestler at a well-known university. He remained a sweet, caring person, had good friends, and a good relationship with his family.

When Brian learned to defend himself, he also learned to value himself.  A person with good self-esteem doesn’t let himself be bullied.

This was one my most well-received posts. Bullies need to be stopped. Whether they exist on the schoolyard, the workplace or inhabit religious fanatic sects, it is my hope that we can all have the right to choose who we want to be and have the freedom to make that choice come true.

Don’t forget to subscribe to Inside the Mind of a Psychiatrist.

DO BULLIES HAUNT YOU? by Art Smukler, author

The camp was idyllic, on a lake, cabins scattered among tall Pine trees, with dirt trails connecting everything to ball fields, the dining room and recreation center. There were 12 waiters, 16-17 year old boys, who were housed in the cabin closest to the dining room.

Rocko, the leader, was 6 feet tall with a physique that suited a Neanderthal. He was assigning jobs to the 11 boys who were all in various stages of making their beds and unpacking their trunks. The first day of camp was filled with learning dining room protocol and that evening the boys were organizing their personal belongings.

“Hey douchbag, you’re not listening to me,” Rocko yelled to the slim boy at the far end of the cabin.

“I’m making my bed,” the boy said.

Seconds later Rocko was standing chest to chest with the slim boy. “I said I was talking to you!”

The boy just stood still, a hard expression forming around his mouth and eyes.

“If you don’t like it, do something about it,” Rocko spat out, his 200 pounds of muscle tensed for an onslaught. He chest butted the boy and put his face just inches from his face. “Chicken shit! Do something or do exactly what I say.”

The boy just stood and stared, not moving a muscle, not blinking.

Rocko pushed the boy and walked away. “Chicken shit.”

It was 11 years before they spoke again. The slim boy, now a doctor and a resident in psychiatry, was moonlighting doing insurance exams for a friend, an insurance agent who had been a fellow waiter that same summer. The patient he was paid to examine was no other than Rocko, who was 30 pounds lighter, had pale skin and a dead look in his eyes.

The doctor asked all the appropriate questions and did a careful physical exam. Rocko had Hodgkins Lymphoma, a serious form of lymphatic cancer. The 2 men never referred to the decades-old altercation and never would. Rocko died a few years later.

The doctor experienced no joy in observing Rocko’s terminal illness or any sense that justice had been served. There was only the feeling he had failed himself by not handling the old situation with more courage.

Now, decades after Rocko’s death, there is finally closure for the slim boy who became a psychiatrist. Joe Belmont, the main character in his novel Chasing Backwards, doesn’t let people push him around, even if those people are the police or professional criminals.

It feels good having a character do what he needs to do. It always feels good to not be afraid.

Please feel free to leave any comments.

Don’t forget to subscribe to Inside the Mind of a Psychiatrist.