In Treatment

Proof that you don’t need to follow TV’s rules to make good television.

In Treatment
Just two old friends chattin' 'bout destructive tendencies pervading their psyches.

A good monologue is an incredible thing to witness. Being able to captivate the audience without the gimmickry of scene changes or rapid-fire dialogue or action sequences is an impressive exercise in narrative limitation.

In Treatment, an HBO drama consisting entirely of one session of therapy per episode, is almost entirely composed of these types of compelling monologues. This is For Your Emmy Consideration: The Series.

After all, so much of dramatic monologue is therapy: It’s about people letting ideas they’ve buried for years finally surface, it’s an arc ending in epiphany, it’s a cataloguing and recitation of unfulfilled desires and mounting frustration. It’s a pure distillation of the sort of character exploration that fiction is all about.

Paul Weston (Gabriel Byrne, The Usual Suspects) is not a therapist from the Woody Allen mold — or most TV clichés, for that matter. He’s not neurotic or distant, and he’s not too stuck in free-association or inkblots or elaborate psychosexual theories. He’s gentle and he’s kind, asking probing questions with a soft Irish accent.

And at first, he seems to have that voice of wise authority, the one that always knows the answer. But wisely, In Treatment undercuts this almost immediately. Under existential crisis about therapy itself, Weston seeks counsel from his former colleague. Every fifth episode features Weston exploring his own insecurities, his crumbling family and his frustration with his patients.

The arcs of his patients don’t necessarily end in happiness. He doesn’t “fix” them. The mind, after all, is something that can be slowly reshaped or even tamed, but not necessarily “fixed.”

In Treatment has moments of laziness. Nearly every character in Season 1 has deep-seated issues with his or her father. But generally, In Treatment is one of television’s most unusual shows. It’s a serious drama that’s only half an hour long. It has 40-episode seasons (four episodes a week) and most of those episodes only have one scene.

Crucially, In Treatment debunks the notion that bluntly showing (through, say, flashbacks) is always more interesting than characters sub- tly telling. Telling it right — with contradictions and cognitive dissonance and shifting layers of opacity and transparency — makes words speak louder than action.

In Treatment (HBO, Mondays and Tuesdays, 9 pm)


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Daniel Walters

A lifelong Spokane native, Daniel Walters was a staff reporter for the Inlander from 2009 to 2023. He reported on a wide swath of topics, including business, education, real estate development, land use, and other stories throughout North Idaho and Spokane County.His work investigated deep flaws in the Washington...