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Twice she was on the Olympics of the Mind team. She’d known most of the kids in her class since kindergarten. She played ball with them and went to their houses for birthday parties.
Cayenne got along well with her parents. Marla, her older sister, had been the moodier and more disobedient child. As an adolescent, Marla sneaked out of the house to drink with her friends. Cayenne felt sorry for her parents when Marla yelled or made them worry, and she promised she would never act that way.
Of course, Cayenne wasn’t perfect. She’d never liked to clean her room and was fidgety in church. She preferred junk food to fruits and vegetables. About twice a year Cayenne would be cranky and sullen for a day, but mostly she was easy-going. Bad days were so rare that they were events, like Groundhog Day. Her parents came to depend on Cayenne as their emotional centerboard, and they jokingly called her “Old Faithful.”
At twelve, Cayenne had her first period. As her body grew rapidly, it became awkward and unpredictable. She gained weight, especially in her hips, and she got acne. Cayenne moved from her neighborhood school to a junior high with 2,000 students. She was nervous the first day because she’d heard rumors that seventh-graders’ heads were stuffed in the toilets and that boys pulled down the girls’ blouses. Fortunately these things didn’t happen, but she came home upset that some boys teased her and that the girls wore makeup and expensive clothes. She was criticized for her JCPenney jeans, and even Chelsea begged her to give up soccer practice and spend Saturday at the mall.
Cayenne grew quieter and less energetic. For the first time she needed to be coaxed into doing things with the family. She stopped wanting hugs from her parents and brushed them away when they approached her. She didn’t laugh or talk to them.
Her parents expected some of this. When Cayenne became self conscious about her appearance, it saddened them, but they knew this was “normal.” They were more upset when she quit playing soccer and when her grades dropped, even in science, which Cayenne now considered hard and boring.
Meanwhile Chelsea’s parents divorced and Chelsea fell in with a wild crowd. She invited Cayenne to join and called her a “Muffy” when she hesitated. Eventually Cayenne became part of the group. Her parents suspected that this crowd might be using alcohol or drugs. They encouraged Cayenne to do more with other girls, but she complained about cliques. They tried to steer her toward sports and school activities, but she felt these things were for nerds.
I met Cayenne the winter of her ninth-grade year. Her family physician had referred her to me after she was diagnosed with herpes. He believed that the family and Cayenne needed help dealing with this infectious disease.
She scrunched between her parents wearing a T-shirt that said “If you don’t like loud music, you’re too fucking old.” Her body posture signaled “My parents can force me to be here but nobody can make me talk.” When I offered her a soda, she rolled her eyes and said, “Color me excited.”
Her mother said, “Cayenne acts like she’s allergic to us. Everything we do is wrong.”
Her dad talked about her grades, her friends, her herpes and depression, but most of all he mourned their lost relationship. Cayenne had been so close to them and so much fun. She was no longer “Old Faithful”—her bad days outnumbered her good. He thought that even Marla had been easier. At least she hadn’t contracted a sexually transmitted disease. After he shared his concerns, he asked, “Does Cayenne need to be hospitalized, or is she just acting like a fifteen-year-old?”
Good question, I thought to myself. Later I met with Cayenne alone. Her blue eyes were icy under her frizzy red hair. She glared at me, almost daring me to make her talk. I sensed that while her surface behavior was angry and withdrawn, underneath she was hurting. I