George and Hilly: Prisoners of Roosevelt Island

DR. SELMAN: Did you ever take the Adderall?

GEORGE: I, um, I like it a lot. I ran out. I think I need to get some more.

HILLY: But no … There’s something about Adderall—

GEORGE: No-no-no-no—

DR. SELMAN: Wait—

GEORGE: No! No

HILLY: I don’t know if you were taking it the way you’re supposed to.

GEORGE [hoarse]: Can I just say one more thing? The fact is, Hilly and I are living together and I’ve always had this fantasy—when I spent a lot of time with someone I start to mimic them and become like them, talk like them, act like them. So I don’t know, I thought if Hilly is on Prozac, maybe I should do it, too.

DR. SELMAN: But Hilly’s also a very organized person and that hasn’t rubbed off.

GEORGE: Well, maybe that has something to do with the ’zac.

HILLY: But going back to the Adderall thing, I think what many people think is, ‘Oh, it’s a way to stay up late.’ No, the way you should be taking it is during your daily routine, and the prescribed amounts.

GEORGE: Hilly and I once did tequila shots and hung out with David Lee Roth.

DR. SELMAN: I think there was also an issue of helping to coordinate your schedules because George was staying up at odd hours—your schedules didn’t mesh.

HILLY: It didn’t work.

DR. SELMAN: It didn’t really work?

HILLY: At this point I think you almost need electroshock when you stay up past your bedtime.

DR. SELMAN: You think he should have shock therapy?

HILLY: I think he needs to be punished when it’s past his bedtime and he won’t go to sleep.

GEORGE: Is that making a comeback, electroshock?

DR. SELMAN: It never went away.

GEORGE: Interesting. They did that to Lou Reed.

HILLY: Every single night he stays up so late. It’s got to be lonely. Being up late, in the middle of the night, in the wee hours in the morning, it’s a little romantic, but every day? I mean, it’s got to be depressing. You look outside, there’s no traffic, and everyone’s asleep.

GEORGE: Love it. I cannot work until Hilly goes to sleep.

HILLY: I’m gone all day!

GEORGE: Right, but I work better at night. I’m not trying to imply anything, I’m wondering: Have you ever had any patients, married couples—there’s this new thing I read about in Newsweek called "living apart, together."

DR. SELMAN: I didn’t realize that you had a wedding.

GEORGE: Well, it’s apparently a trend. Not that I want to "live apart, together" with Hilly. But I’m just curious.

HILLY: I think it would be wonderful. If we were in the same building, upstairs and downstairs from each other.

DR. SELMAN: I think if that’s what you wanted, that would be perfectly reasonable. But it seems like what you’re saying here—I mean you threw this wonderful party for George and he almost had a panic attack
. It doesn’t sound like he had as good a time as he might have had.

GEORGE: Oh, I did. Not at first because I was so spooked. It’s scary to have 50 people moving toward you in any context.

DR. SELMAN: She told a story about the party, and you said that you felt like a pig shat in your head.

GEORGE: That’s today. The party was so great—did I have a good time that night?

HILLY: Oh, he really had a great time.

DR. SELMAN: I guess I’m just trying to tease out here whether or not you could benefit from an antidepressant. We’re looking at symptoms of depression here.

GEORGE: Could I take Prozac?

DR. SELMAN: There are newer drugs.

GEORGE: But that seems like the big one.

DR. SELMAN: It’s actually probably one of the less safe ones.

GEORGE: Oh, yeah, Abbie Hoffman killed himself. People get homicidal. Don’t people freak out and snap?

DR. SELMAN: Prozac is not a particularly good antidepressant. People associate it with being an antidepressant because that was its first indication—all of the SSRIs are not really great antidepressants. They’re great for other things. They are good for obsessive-compulsive disorder, panic attacks, bulimia and eating disorders. But as far as antidepressants go, all of those same drugs are not the greatest. The best antidepressants are the group of SNRIs. So you have Effexor XR which we have talked about … and now there’s a new one out called Pristiq. It’s made by Wyeth, the same company that came out with Effexor.

GEORGE: O.K.

DR. SELMAN: So I would recommend that you try that. I have samples I could give you.

GEORGE: I wish you could give me some medical marijuana. I don’t approve of marijuana use for pretty everyone except for me. I really don’t like people advocating it, singing its praises in Hollywood, in print, calling it "the weed of wisdom." But could you give me some? You’re not allowed to do that, are you?

DR. SELMAN: Right. It’s not legal.

GEORGE: What I like to do is every three or four months, get a nice $100 container and do tiny bits and make it last a few months.

DR. SELMAN: Getting busted is very expensive.

GEORGE: I feel so sorry for Tatum O’Neal.

George and Hilly: Prisoners of Roosevelt Island