While I was in the hospital, I had occupational therapy for an hour each day. Allegedly, occupational therapy is designed to assist people in developing “skills for the job of living.” For writers, I suppose this means accepting rejection and mixing drinks.
You might expect a term like “occupational therapy” to include things like cooking and job interview skills. What you might not expect to be included is, say, substantial amounts of macramé. Or rug hooking.
But in my experience in the mental health world, “occupational therapy” (or “OT”) is simply a fancy phrase for time spent in a room with the best-stocked art supply cabinets you have ever seen, presided over by an invariably young woman with an invariably gentle manner. Oddly, after the drugs and my relentless jokiness, occupational therapy was the single most helpful piece of my treatment. Maybe because it gave me something to do with my hands, probably because it focused my mind on something other that my own quivering psyche. We had OT in the morning, after meds had been handed out, presumably so that everyone would be suitably mellow to be allowed access to an awl. During my first session, I made a leather coin purse for my friend Maggie, hand-stamped with the words “Greetings from the Bell Jar!”
After I was discharged from the hospital, I faced a rapidly changing landscape. One of the circumstances precipitating my decline was the dramatic abdication of the person with whom I was living, leaving me unable to afford the rent on our spacious 4-bedroom apartment. Shortly after I left the hospital, I moved into a small studio and began rebuilding my life more or less from scratch. I jettisoned the bankrupt magazine I had been holding together with my patented mix of denial and chutzpah, and returned to freelancing from home, convenient because it meant my employers could not see my tinfoil hat.
I kept myself to a strict routine, waking shortly after four in the morning, not because I was eager to begin the day, but because I was unable to sleep any longer. I took a daily sunrise walk around my new neighborhood; headphones plugged securely into my ears, I took deep, sharp breaths, and gazed at the lights of the capitol building from my vantage point on a crumbling slice of pavement. I always ended my walk at the cathedral, where I entered through a side door and knelt before a statue I did not recognize, lighting a candle for my sanity before I made my way into the main sanctuary and sunk into a pew. I am not a Christian, but the cathedral at quarter to five in the morning was empty, and its high ceilings calmed me. More particularly, I liked to stare upwards at a painting on the ceiling, of an angel bearing a banner that read “PERSERVERANCE.” Then I left through the main doors, coming out onto the cathedral steps with the whole city spread mistily before me.
Back in my apartment, I fried myself an egg and listened to Dinah Washington. Then I listened to a bit of Pearl Bailey and played Idiot’s Delight, sitting at the tiny wire bistro table I had salvaged and painted a sunny yellow.
Eventually I would look at the clock and see that it was only seven a.m., and a wave of panic would slosh through me. More than twelve hours left in the day. Sure, I could kill a few of those by watching ER and Law & Order, but then there was only silence until Dr. Phil and Oprah.
Two months after my stint as an inpatient, I signed up for a day-treatment program run by another local hospital. It was a group program that met three days a week, from nine a.m. to noon. I was subject to a long intake process to facilitate my placement among compatible patients, which is how I ended up in a group composed almost entirely of over-educated loudmouths, with a few quiet types thrown in so that there would be someone who could listen WITHOUT INTERRUPTING. Each three-hour day was composed of hour-long blocks of group therapy, mental health education, and occupational therapy.
I do not think it is exaggerating to say that this group saved my life. I suspect that it was the simple act of getting out of the house three days a week and speaking to other humans, but the occupational therapy didn’t hurt.
I made a small wooden box with a tiled lid for my brother, a copper etching for my mother, and a prettily glazed bowl for Frances. I looked forward to sitting, companionably sanding a teacup, with people who didn’t think it was odd that I woke from every nap with a wildly pumping heart. And when I left the program after three months, and returned to my finally blossoming new life, this enforced occupation was the one coping skill I practiced over and over. During the bleak, flattening hours between five and seven in the evening, I would paint at the small table in my studio apartment. I was not much of an artist, but there was something both satisfying and absorbing about mixing paint colors and applying them to canvas.
By that point, I was happy, perhaps even happier than I had been in years. As it turned out, living alone agreed with me, and there is nothing like a receding nervous breakdown to make a girl appreciate the color of the trees, and the way the sun reliably rises each and every morning. You would never know I had been ill, except for the handful of pills I took each day and my self-enforced occupational therapy, which had the advantage of appearing to others as merely a hobby.
Here are a few of the things I painted during this time:
1. “Self-Portrait Sans Phone Call:”

2. This painting, of a severed head, came after watching a bit too much I, Claudius:

3. And this one, painted after I discovered gold leaf, was the favorite of a man I started dating less than six months later.
It would be the first present I ever gave him, and it hangs in the house we share today:

To be Continued…

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made me cry. thank you for sharing these things. it means a lot.
Alexa — the paintings . . . they’re *good*. Are you still painting? If not, you should be.
That was touching, beautiful, and funny.
I love this story.
Your paintings are beautiful. I was expecting a chicken scratches and a few blotches after the “not much of an artist” disclaimer, but they truly are lovely.
I am loving your poignant story, thank you for sharing.
And the artwork – oy! I would totally buy those…seriously, you’re good lady!
hey those paintings are awesome! the last one is my favorite. i really like how saturated the colors are.
Thank you again. I know that I should have checked myself into a hospital. I know that I should have sought more help than I did. I would pray that my family would realize how bad things were, and just take me in. Then I wouldn’t have to be the one to admit how bad I’d let things get.
Instead I chose to drop out of med school and live in my parent’s guest bedroom for three months, watching bad daytime television and sleeping as much as possible. I eventually pieced my life back together (one year later, I’m now finally in a place where I can look back and see how far I’ve come, and how far I still have to go) but I know that had I enough courage to check myself in somewhere, my recovery would have come together more quickly.
My knitting and my card/craft making allowed me an outlet for my restless hands, giving me something to concentrate on, to force my mind to STOP! and chill the heck out. I would have not only tried to bring my knitting needles to the hospital, I would have packed up my cardstock, cutting mat and set of x-acto knives. I can only imagine the reaction that would receive.
Thanks again for sharing, I’m very glad I found your site.
Hi! How are you?
I love you. Is that too forward?
Seriously, dude, this is just an awesome story. I am at once both touched and completely inspired. And I absolutely love your paintings, and literally the first thought I had, irrationally, was, “Ooh! I want to paint!”
They’re gorgeous. The first one is my favorite.
Alexa, this story is amazingly touching and so well-written. And the paintings are awesome.
My best friend once sent me a card from the mental hospital that said “I am making art with raisins… what are you up to?” I think she would agree with you about OT.
“Goodbye, Crewel World.” Oh you’re good.
They are all great! but the last one is my favorite, too. : ) (And, yes, thank! you for sharing such a powerful story.)
I have been lurking for a while now, and this post finally drew me out of the woodwork. It really touched me and was exactly what I needed to read today. Thank you.
And I would happily hang any of your pieces in my house.
I don’t have a comment. I just wanted to say that your writing is brave and open, hilarious and smart, and I enjoy reading you every single day.
I love your art. And I am lucky enough to have my very own personalized piece of it.
I’m enjoying your story and the fact that you made it through to be able to write here. Your art is as good as your writing, which is, to say the last, wonderful.
Day programs helped Sarge, too. Not because they gave him any profound truths to hang on to but simply because, like you, they gave him a place to go and structure within his day. They helped lengthen the time between hospital visits.
I love the idea of you sitting in a cathedral at dawn, enjoying the quiet. They are such restful places, cathedrals.
And your art is wonderful, especially the ostritch one. (Apparently The Actually I have a lot in common.) Have you thought of displaying it outside the home and the blog? Seriously, I mean it.
Mental Health Trivia: The smell crayons realease as you color triggers a seratonin release in the brain, soothing the body and emotions. That’s why mental health establishments so often require patients to color.
This is a great series. Please keep it going…
…and your paintings are wonderful!!!
LOVE this.
There’s something about ostriches that I find strangely compelling. Their faces look so sentient or something.
Anyway, I’m looking forward to the conclusion of this tale.
I am a student in an occupational therapy program and I just found your website through NaBloPoMo. Everything you wrote is just what OT is about— I am glad that you found it and that it helped you. A big part of our education is learning how engaging in occupations and activities create meaning. It is fantastic to see it written so eloquently by someone who experienced it first hand. good luck!
Thanks for saying nice things about OT, from an OT. Psych OT is certainly one of the most fun professions ever, as the treatments are just fun.