She did not stop for him. She walked on. Even if she could have spoken, what would she have said? She was unprepared. She wasn’t feeling well. Around the corner, hidden by hedges, she tried to breathe, but found she could not breathe. She heard the sound of breaking glass and realized the champagne flute had dropped to the road and shattered. There was wind in her ears. Her knees gave way.

Blackness.

Silence.

Couple #30: Dr. Gary Donegal and Lance Farley, partners ten years

Dr. Donegal: I started seeing Dabney in 1978, my first year on Nantucket. Dabney was, in fact, my first patient. She was twelve years old; her mother had left the family four years earlier, and Dabney’s father, who was a policeman, was worried about Dabney’s emotional well-being as she entered adolescence. Dabney refused to leave the island; she was convinced that if she left Nantucket, she would die. Or something worse.

“Something worse?” I said.

Officer Kimball then explained to me that the last time Dabney had been off Nantucket was in December 1974, when her mother, Patty Benson, took Dabney to Boston to see The Nutcracker. They had orchestra seats for the evening performance of the ballet and a suite at the Park Plaza afterward. Patty, Officer Kimball said, had come from money and was used to doing things this way. She was also spoiled, selfish, and entitled, he said. A summer person, he said—as if this were the explanation for her unpleasant qualities. He then went on to tell me that Patty Benson had left the Park Plaza Hotel in the middle of the night and had never returned.

“Never returned?” I said.

“Never returned,” he said. He knew Patty hadn’t met with foul play because she had given the hotel’s concierge Officer Kimball’s phone number and a twenty-dollar tip to call and tell him to come to Boston to collect their daughter.

When Dabney awoke in the suite in the Park Plaza, Patty was gone. The concierge sent up one of the chambermaids to stay with Dabney until her father arrived.

Dabney never saw or heard from her mother again. Eventually, Officer Kimball hired a detective and discovered that Patty Benson was living in Texas, working as a flight attendant on the private jet of some oil millionaire.

I realized I had my work cut out for me with Dabney. The refusal to leave Nantucket was a natural response to having lost her mother, to being left behind in a hotel room like an empty shopping bag, or a half-eaten club sandwich.

Dabney was happy enough to talk about her mother. Her mother had grown up spending summers in a big old house on Hoicks Hollow Road. The Benson family had belonged to the Sankaty Beach Club; her mother used to say that tan skin was healthy skin. Her mother liked black-and-white movies with singing and dancing, liked lobster tails on Christmas Eve, and did not care for her husband’s Wharf Rat tattoo. Her mother read to Dabney every night before bed and some nights fell asleep in Dabney’s bed; she promised that Dabney could get her ears pierced on her twelfth birthday, but that the only acceptable earrings were pearls.

Dabney wouldn’t talk about The Nutcracker trip or waking up in the hotel alone or the fact that her mother had not contacted her in two, then three, then four years.

I had seen my share of obsessive-compulsive disorder and agoraphobia and paranoia, but I had never seen a combination of the three the way they presented in Dabney. I am, perhaps, making things sound worse for her than they were. She was an exceptional child, and as she grew into a teenager, she only became more exceptional. She was lovely to look at, intelligent, clear-eyed, perceptive, kind, poised, articulate, and funny. But when it came to leaving Nantucket, she had a blind spot. She wouldn’t leave the island unless her life depended on it, she said.

I met with her twice a month. We tried antianxiety medications, none of which proved very effective, but we finally made enough progress that when she was accepted to Harvard, she said she would go.

Even I was surprised by this.

She said, “I told you that I wouldn’t leave the island unless my life depended on it, and now my life depends on it. Am I supposed to stay here and wait tables? Work as a nanny? I have to go to college, Dr. Donegal. I’m smart.”

I agreed with her wholeheartedly: she was smart. I was sure that when she got to Harvard, she would realize there was nothing to fear. No one else would disappear.

This didn’t end up being quite true. Her boyfriend, Clendenin Hughes, went to Yale and became engrossed in his studies and his life there. Dabney traveled once to New Haven to see him, and it ended badly. Officer Kimball was working double shifts that weekend, and hence I was dispatched to go get her.

It was on the ride from New Haven back to the Cape, eight years after our therapy started, that I finally got Dabney to talk. She started with things I knew: she was fatally in love with Clendenin Hughes—“fatally” meaning she was pretty sure the love would kill her, or the fact that he didn’t love her the way she loved him would kill her. He wanted to go places and see things, and she couldn’t, and he didn’t understand, and she couldn’t explain. New Haven had changed Clen, she said. I told her that going new places did sometimes change a person, new experiences shaped us, and Dabney said that she liked who she was and was determined to stay that way. She had not been changed by Cambridge, and I suggested that was because she hadn’t truly let Cambridge into her heart. She didn’t respond to this, and the next time she spoke, she told me that the night her mother left, she told Dabney that she was woefully unhappy with her life. She was no longer in love with Dabney’s father; she had been blinded, she said, by the romantic notion of a war hero. She used to love Nantucket as a summer haven, but living there year-round had spoiled it for her. She hated it now with every cell of her body. She felt like a coyote in a trap, she said. She would chew off her own leg to escape.