Page 9 of The Truth You Told (Raisa Susanto #2)

Maxine Baker is a bright and astute child. Her IQ classifies her as a genius, but she does a remarkable job of hiding that intelligence. She was referred into my care by a colleague who realized she could not help the girl. I’ve found that’s often the case with children as smart as Maxine—she does not want a psychiatrist and so she will sabotage any attempts made by professionals to connect with her.

Although I try to come to each patient with a fresh slate, it was imperative to understand Maxine’s backstory before our first consultation.

There are unsubstantiated but believable reports that she was physically and sexually abused by her father, who will henceforth be known as James. James and Maxine’s mother Hillary—a textbook narcissist—shared 50-50 custody, although it seems that Max was mostly raised by the two siblings who are currently her guardians.

They helped provide some stability in what appears to be a chaotic childhood for the girl.

None of this is the reason she is in my care.

At eleven, Maxine discovered James shot dead in the front entryway of their house. According to the police report, she checked for a pulse and then called emergency services.

Because of the traumatic event, it was recommended—strongly—to her new guardians that she should seek mental health services. In my experience, this was a highly unusual move. One, because it was not court-ordered, which is what I usually see. And two, because her path to me was with specialists who work with violent children. That had me trying to read between the lines.

I soon realized that everyone involved in Maxine’s case, from the detectives to the custody judge, believed that she was the one who shot her own father. There was never enough evidence to convict, but they didn’t want to miss an opportunity to intervene if needed.

Maxine is too young to be given a diagnosis of borderline personality disorder, but the psychiatrist who referred her to me suggested in her discharge files that she was on the watch for further developing symptoms, as a patient can receive a BPD diagnosis if she has shown symptoms for a year.

However, I see no signs of BPD with Maxine. Although she demonstrates a clear fear of abandonment to the point of self-harm, she’s not showing any of the other major signs, such as severe emotional swings, explosive anger and impulsive decisions.

If she was involved in the death of her father, it was not because she has a personality disorder.

While I believe I’m making progress with Maxine, ultimately, I don’t believe I’m the right psychiatrist for her. I will be recommending that she switch care to my colleague with PTSD experience once he has an opening.

In my personal opinion, Maxine is neither a danger to herself nor to others.