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English
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Published:
2025-12-23
Updated:
2025-12-23
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7,424
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4/15
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1
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Beneath the Surface

Summary:

“You always make everything so… precise,” she said, tilting her head.

“I notice details,” Elena replied, fingers lingering on the table.

The woman smiled softly. “I like it. Makes me feel… safer.”

For a moment, the psychologist just nodded then clears her throat “It’s my job,” she says, and for once, it feels both true and dangerously incomplete.

Chapter 1: The Architecture of Safety

Chapter Text

Chapter 1: The Architecture of Safety

The deadbolt clicks. It is a precise, metallic sound, a finality.

Elena does not just turn the key; she listens for the internal alignment of the tumblers. It is 7:15 AM. Outside, the Milanese fog has turned the city into a watercolor of damp grays and muted ochres, but inside the apartment, everything is sharp. The air smells of nothing. No lingering scent of dinner, no floral diffusers, no trace of another person’s presence. She has spent years curating this emptiness. It is not loneliness; it is a lack of interference.

She walks to the kitchen. Her movements are economical, honed by decades of repetition. One espresso, no sugar. The porcelain cup is white, thin-walled, and perfectly smooth. As she drinks, standing by the window, looking down at the street.

From the fourth floor, the people below look like data points moving through a system. Men in dark overcoats hurrying toward the metro; women with scarves wrapped tight against the Lombardy chill. She observes the way they touch...a hand on a shoulder, a brief, casual collision of bodies in a crowded doorway. It makes her skin feel tight, with a phantom pressure beneath her ribs.

She checks the stove. The knobs are horizontal, indicating 'off.' She touches each one with the tip of her index finger. One, two, three, four. Then the window locks. Left, center, right. This is not a compulsion born of a disordered mind; she tells herself. It is an audit. A professional assessment of her environment to ensure no variables have changed. If the variables remain constant, she is safe. If she is safe, she can work.

She picks up her leather briefcase. It is heavy with files, the weight of a grounding presence against her hip. She catches her reflection in the hallway mirror.

A woman in her late thirties. Professional. Competent. Her dark hair is pulled back into a knot so tight it seems to pull the skin of her temples smooth. There is no softness in the silhouette of her charcoal suit. The Italian sun has never quite managed to warm her complexion; she possesses the pallor of someone who spends their life under the relentless hum of fluorescent lights.

She looks like someone who has answers. That is the lie she sells every day, and she sells it with the conviction of a woman who has no other choice.

 

Commuting to the hospital is a transition between two types of silence.

The metro is crowded, a humid mass of breath and damp wool. Elena stands, refusing to sit even when a seat vacates. Sitting requires a surrender of posture; it puts her at eye level with the belts and hands of the men standing over her. Instead, she wedges herself into a corner near the door, her back against the cool metal of the carriage.

She practices a technique she teaches her patients: sensory grounding.

The vibration of the rails beneath her soles is clear. The scent of ozone and wet pavement. The rhythmic flickering of the tunnel lights.

To her left, two men are talking loudly about a football match, their gestures expansive, their bodies taking up more space than necessary. One of them laughs, a deep, guttural sound that vibrates in Elena’s chest. He shifts, his elbow grazing her sleeve.

She can’t flinch. Flinching is a confession of fear. Instead, she simply contracts. She becomes smaller, denser, and a diamond of focused irritation. She looks at his hand large, calloused; the fingernails blunt. She imagines the anatomy of it: the metacarpals, the tendons, the capacity for grip. To her, a hand is not a tool for affection. It is a mechanical instrument capable of applying force.

She thinks of her father’s hands. They were always clean, smelling of expensive soap and the ink of high-stakes contracts. They were hands that signed checks for therapists and private schools but never reached out to steady her when the world tilted.

“What’s done is done, Elena,” he had said. He hadn't looked at her. He had looked at his watch. A gold Patek Philippe that ticked with the same cold indifference as his heart. “We have managed the situation. The police report is filed. The doctors have seen you. Now, we move forward. We do not dwell.”

The train screeches to a halt at her station. Elena is the first one out.

The hospital is a monument to modern efficiency. It sits on the periphery of the city, a sprawling complex of glass and reinforced concrete. It is a place where the messy, irrational failures of the human body are brought to be categorized and corrected.

Elena likes the hospital. She likes the way the air is filtered, the way the floors are polished to a high-gloss finish that reflects the overhead lights like a frozen lake. Here, there are protocols for everything. There is a hierarchy. There is a clear distinction between the healer and the broken.

As she walks through the lobby, she passes the chapel. It is a small, quiet room with a single crucifix and a row of votive candles. Even here, in a temple of science, the old Italy lingers. She sees a nurse she recognizes a woman who has worked in oncology for twenty years dipping her fingers into the holy water and crossing herself before starting her shift.

Elena feels a flicker of clinical judgment. Faith is just another form of dissociation, a way to outsource the burden of reality to an invisible entity. She finds no comfort in the idea of a watchful God. If there is a God, He is a silent witness who allows the unthinkable to happen and then demands gratitude for the survival.

By taking the elevator, she reaches to the third floor: Psychological Services.

Her office is at the end of the hall, tucked away from the main nursing station. A small room with a window that looks out over a courtyard of manicured grass and a single, skeletal birch tree.

She follows her morning ritual. Placing her briefcase on the left side of the desk, opening the window exactly two inches to allow for air circulation, turning on the computer and arranging the patient files in order of appointment time.

Sitting in the chair and appreciating it’s design that forces her spine into a straight line, she answers the knock at the door of her room.

“Elena? You’re in early.”

It is Dr. Arisiti, a senior psychiatrist. He is a man in his sixties, possessed of a grandfatherly warmth that she finds oddly suspicious. He leans against the doorframe, a steaming cup of coffee in his hand.

“The traffic was light,” Elena says without looking up from her monitor.

“You look tired,” he says. It is a professional observation framed as a personal concern.

“I am fine, Stefano. I have a full schedule today.”

“The new referral came through. The one from the neurology department. Did you see the file?”

“The Russian woman? I was about to open it.” she replies with the same interest and expression.

Arisiti nods, his expression turning thoughtful. “It’s a curious case. All the markers of a neurological deficit...memory gaps, localized pain, vertigo...but the scans are clean. Not a shadow on the brain. Neurology thinks it’s somatization. High-level stress, perhaps.”

“Or a conversion disorder,” she adds with her flat and analytical tone. “The body speaking the language the mind refuses to learn.”

“Perhaps. But she doesn’t fit the profile. She’s... vibrant. Open. She comes from a very stable, very loving background. No history of abuse, no trauma, no family dysfunction. In fact, she seems almost overwhelmed by how much she is loved.”

Elena feels a familiar, cold curiosity. A "perfect" background is often just a more elaborate facade. Everyone has a crack. It is simply a matter of finding the point of impact.

“I’ll be the judge of her stability,” Elena says.

Arisiti smiles, though there is no mirth in it. “I’m sure you will. Just... be careful with this one, Elena. She’s fragile, despite the energy. She’s looking for something. I’m not sure we have it here.”

“I provide clinical treatment, Stefano. I am not a provider of 'things.'”

He sighs and pushes off the doorframe. “Right. Of course. Boundaries first.”

He leaves, and the silence of the room rushes back in to fill the space. Elena watches the door for a moment, making sure it is fully closed. Then, she clicks on the file.

 

Patient Name: Sofiya Volkova

Age: 28

Nationality: Russian (Resident in Italy for 3 years)

Referral Reason: Idiopathic memory disturbances, acute anxiety, non-cardiac chest pain.

Elena scrolls through the intake notes. They are exhaustive and, to her eyes, frustratingly vague.

Patient reports periods of 'lost time' lasting from minutes to hours. No evidence of seizure activity. Patient describes a sensation of 'hollowness' in the chest. History: Raised in St. Petersburg. Youngest of four children. Father is a high-ranking academic; mother is a retired musician. Three brothers, all older, all protective. Extended family ties are exceptionally strong. No reported history of physical, sexual, or emotional trauma.

Elena leans back. No trauma. The words feel like an insult. She thinks of her own childhood the silence of the wealthy tycoons, the way her mother had polished her silver while Elena sat in the kitchen, trembling, waiting for someone to ask why she had stopped eating, why she wouldn't play in the garden anymore. They had never asked. They had simply hired a better tutor.

She looks at the scan of Sofiya's ID.

The woman in the photo is beautiful in a way that feels accidental. Her hair is a chaotic blonde, her eyes a startling, clear blue. There is a slight tilt to her head, a half-smile that suggests she is about to say something funny. She looks like someone who expects the world to be kind to her.

Elena feels a sharp, sudden spike of irritation. It is the irritation of a veteran looking at a recruit who hasn't seen the front lines.

She closes the file. She has forty-five minutes before her first appointment; a middle-aged man with obsessive-compulsive tendencies who spends his sessions talking about the germs on the bus. He is easy. He is predictable. He has a series of symptoms she can manage with cognitive behavioral techniques.

But her mind keeps drifting back to the Russian woman. Absence. Arisiti had said she was looking for something.

Elena stands and walks to the small mirror in her bathroom. She splashes cold water on her face. She doesn't use a towel; letting the air dry the droplets, feeling the evaporation pull the heat from her skin.

She thinks about the locks on her door. She thinks about the way she checks the knobs on the stove. She thinks about the way she avoids the touch of strangers on the metro.

She is a fortress. Had spent thirty years building these walls, stone by stone, until the girl who was broken at nine years old was buried so deep she could no longer be heard. Her life is a masterpiece of control.

She sits back down at her desk. She straightens the file of the man with the germs. She checks the time. 8:59 AM.

In one minute, the day begins. In one minute, she will become the Psychologist. The woman who listens. The woman who analyzes. The woman who never, under any circumstances, allows herself to be felt. Reaching into her drawer and pulling out a fresh notepad. She writes the name at the top of the first page in her precise, cramped handwriting:

Sofiya Volkova.

As she writes the name, she feels a strange, discordant rhythm in her own heart probably too much caffeine. She ignores it, clears her throat, adjusts her sleeves, and waits for the first knock.

The hospital hums around her, a vast machine of glass and white light, oblivious to the fact that today, the architecture of her safety has just developed its first, invisible hairline fracture.