My mom, who is herself a therapist (and not a psychologist or an analyst, which I think has been greatly beneficial to my personal well-being), turned me on to In Treatment. I mean, I had obviously heard about it, but the whole concept sounded a little intense and not really something I could get into. But then, with the Netflix DVD laying around on Thanksgiving break, I watched the first few episodes and immediately moved on to the rest.
In Treatment is a fascinating character study. It's a telling testament to the immense skills of Gabriel Byrne that he is able to carry every single episode of this show on his back. Even when his patients lose my interest, I'm still invested in how Paul will be affected by them.
Let's back up a little. For those of you who don't know, In Treatment is about a psychologist, Paul Weston, who, when the series begins, is treating patients out of his home office in Baltimore, MD. Part of the fun of this show is getting a glimpse of something that is normally considered forbidden, even illegal to disclose: private therapy sessions. The first client we see is a trainwreck of a woman named Laura, who is clearly suffering from a terrible case of transference that Paul doesn't seem to know how to handle. From there we see that each of his following patients are reflective of a part of Paul's own life as he struggles to keep his family together and maintain some sanity for himself.
The last episode of each week is devoted to Paul's own therapy sessions, beginning with Gina (Dianne Weist) and, in the recently completed third season, moving on to Adele (played by the incomparable Amy Ryan). In these sessions we get to see Paul removed from the position of evaluative power that he usually assumes and put into a place of vulnerability. He clearly isn't very comfortable with such a position, and his relationships with Gina (who used to be his supervisor, which those familiar with the study of psychology will know is quite unusual and probably problematic) and Adele showcase that discomfort. The Paul who appears in his own therapy sessions is quite different from the capable Dr. Weston we usually see, easily helping his own patients.
And he is, in all honestly, quite a capable psychotherapist. He truly does connect with and help most of his patients, when he's not crossing boundaries or trying to solve his own problems through the treatment of others. As anyone who went to college or has spent any time studying psychology knows, psychologists are often just as crazy as any of their patients, and Paul is no different. But some of the most moving contrasts in the show are between the way he relates to his patients versus the way he relates to his friends and family. Especially since he does such a great job with all of his child/teenage patients (in fact, in each respective season, Sophie/Oliver/Jesse have all been my favorites) it is very tough to watch him try to carry on those skills and relate to his own children, because he simply doesn't know how to be a good dad without also being his childrens' therapist. Again, boundary issues arise.