Problematic Psychiatry
“He hasn’t done anything. We’ll release him so he does something.”
Dr Robert Smith

The Audience of Blue/Orange leaves the Greenwich Theatre in great high spirits, laughing and smiling as if they’ve seen a brilliant farce. And the piece might be: “Shrinks Behaving Badly”Because they do. Department Head Dr Smith (John Michie) is an affable charmer who thinks nothing of breaking ward rules on cigarettes and coffee if it relaxes patients and helps bond them to him.
He attempts to bond with ambitious Junior Doctor Rubina (Rhianne Barreto) by flattering her as “a woman not afraid to tackle a soufflé with promises of mentoring her right up to Consultant level. In return for… another Sunday dinner?
So far so collegiate until… they disagree about Patient Christopher (Matthew Morrison). The young man is clearly disturbed. But why? And how badly? And what should they do? Detain him in the hope of more effective treatment as Dr Ruby wants? Or discharge him back home to Shepherds Bush to free up a bed for Dr Smith’s busy ward?
Both have their own agenda. And soon these two professionals are clashing at a very basic level. But how can you have a conversation, a discussion, a debate, let alone a dispute, if you don’t share agreement about the very terms you’re using? Of course you can. But it’s going to get very noisy and very nasty. And for these two Psychiatrists it does, turning into an ugly power struggle in front of the man they’re supposed to help.

Doctor Smith, not so amiable now, uses the hospital system against his protegée. Dr Ruby but she fights back using the same system. The joke here is that these are professionals with a heavy workload and patients whose complaints, if articulated, can safely be ignored. But how far are the professionals coping?
Very badly… How can this happen? How does Psychiatry manage itself? No less an authority than Hannibal Lecter himself declared that Psychology was ‘not a genuine science’, according to one of his Prison guards. So where does that leave sister discipline Psychiatry now?
Gavin Francis, a medical student in the late ’70s, reports taking a Psychiatry Rotation as part of his degree and was rated a star student by one assessor and a failure by the other. Both assessments turned out to be wrong. He was Average. Hardly Physics. Francis’ later experience with primary care patients suggests that while the distress of patients with some ‘mental health’ conditions didn’t change over time, the definitions label did. But not very helpfully. You can be depressed and never know why.

Both our Doctors at war try to co-opt Christopher in their power game. It is now a matter of status. Which could be dull, but Christopher is permitted two jokes, “Dr Smith said I should learn to lick my own balls.” And, “Idi Amin’s second wife – not my mother – runs a Chippy in Haringey.”
Dr Smith’s message, from his elevated position, is that no one is always happy. People are what they are. He would rather be a French surrealist poet and well-respected on the international scene. He has accepted that may not happen. Still, it is his Dream.
Dr Rubina wants to help all sufferers, but she is working in such a hard place; she compromises. Or does she..?
This is not such a comforting ending. But if people want to come out smiling afterwards, as a better woman than me said, who am I to argue?
Lighting by Henry Slater flickers and contributes to an unnerving atmosphere. Set by Designer Jana Lakotos keeps one’s eye on the action. Director James Haddrell keeps a grip on the unfolding mayhem, but he has to fight against the auditorium’s acoustics which are not great in the first rows.
A powerfully funny piece about a very sad subject. But performed with enormous skill by a great cast who give life to a variety of words and emotions.
For our 2001 review of Blue/Orange go here. Note: This version has been updated by Joe Penhall with a woman doctor to reflect the NHS today.

Production Notes
Blue/Orange
Written by Joe Penhall
Directed by James Haddrell
Cast
Starring:
John Michie
Matthew Morrison
Rhianne Barreto
Creatives
Director: Justin Martin
Designer: Jana Lakotos
Lighting Designer: Henry Slater
Information
Running Time: Two hours 20 minutes including an interval
Booking to 25th October 2025
Theatre:
Greenwich Theatre
Crooms Hill
Greenwich
London SE10 8ES
Phone: 020 8858 7755
Website: greenwichtheatre.org.uk
Tube/Train: Greenwich
Reviewed by Brian Clover at the
Greenwich Theatre on 8th October 2025
