for something at the hospital. It was a start.â
âBut overall, sounds like you werenât too optimistic.â
âNo,â he said flatly. âMr. Babikian has an overwhelming need to control. It was clear to me that he was driving the pathology for the couple. Lisa Babikian, on the other hand, was compliant, moldable. Of course, thatâs why he married her.â
âPathology?â
âUnder that controlled facade, he was doing a slow burn. I thought that his paranoia bordered on the delusional. He believed he could control everything in his life, and for the most part, he could. His motherâs dementia was upsetting to him. And then his wifeâs unhappiness added to his feeling that his life was getting out of control. Of course, the more unhappy she got, the more he tightened the reins, the more unhappy she gotâyou know the cycle.â
âDid he ever act out his anger?â Iâd slipped into psychiatric-speak too. I could as easily have asked: Did he beat his wife?
âNot as far as I was aware.â It was a hedge.
I must have looked surprised. People who kill their wives usually work their way up to it. Bruises and broken bones along with a broken spirit lay the groundwork for the final act.
âIt wouldnât have surprised me. He didnât trust her. At one point, he even accused her of having an affair with me.â Teitlebaum stared at his case notes. âNo physical abuse.â He grunted and shook his head. âThatâs what I kept telling myself. Thatâs probably why I took the case. But that doesnât mean he didnât scare the shit out of me. Of course, I recommended individual therapy to him. And medication. I wanted to put him on something to calm him down, help him control his anxiety. Heâd
have none of it. He was more afraid of losing control than he was of losing his wife.â
âWere you aware of Mr. Babikian experiencing any fuguelike episodes?â I asked.
Teitlebaum looked skeptical.
âThere seems to be a period of time he canât recall on the night of the murder,â I explained.
âHeâs not trying to convince you that heâs got some kind of dissociative identity disorder, is he?â
From his tone, I could tell he thought this highly unlikely. I agreed. Multiple personality had been quite the vogue back in the seventies, but in reality it was extremely rare.
Teitlebaum rubbed his chin. âOn the other hand, if it did happen, heâd be the kind of guy whoâd have trouble admitting to any loss of control.â
âHow long did they continue to come to you?â I asked.
âMaybe a half dozenââTeitlebaum paged through the fileââno, seven sessions. Then they just stopped.â
The folder looked a lot thicker than notes from seven sessions warranted. I waited. He blinked back at me.
âLisa Babikian continued seeing you?â
Teitlebaumâs eyebrows went up a micron.
âHer kitchen calendar. Sheâs got appointments with âDr. Tâ written on it.â
He stared at the file. We both knew he was walking a line. With Nickâs permission, he was free to tell me about what had happened in the couples therapy. But that didnât extend to his one-on-one treatment of Lisa. Doctor-patient privilege survives death.
âShe called a couple of months after they stopped coming as a couple. Wanted to come alone.â
âSounds like you were surprised.â
He didnât answer.
âLook, I run the Neuropsych Unit at the Pearce,â I told him. âIâm well aware of the stress that taking care of a person with dementia can cause both to a relationship and to an individual.â
Teitlebaum seemed to come to terms with his conscience. âNo. I wasnât surprised. Sheâd started somatizing. Headaches, chronic colds, insomnia. Her husband had become even more distant, withholding. The more upset
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