- All is peaceful in Yr, and it makes Deborah think problems in "reality" are the cause of any pain that happens in Yr. She can see reality from Yr sometimes through a thin partition that looks like gauze.
- Deborah thinks back to when Yr and reality collided one day in school. Deborah wrote down the name Janus on her paper, which is a secret name she gives herself when transitioning between Earth and Yr. The teacher asked her about it, and Deborah panicked.
- This incident describes how the Great Collect and Midworld got stronger. They were created to keep Yr a secret.
- The Censor was created to control what Deborah says and does, so that nothing will "destroy her and both worlds forever" (3.3). Yes—for Deborah, it's that serious.
- Even though Deb says nobody likes her, a girl named Carla, also a patient at the mental hospital, befriends her. They discuss whether it's possible to get better, and how privileges for good behavior include being able to walk further and further from the hospital building.
- Deborah meets Dr. Fried and has her first talk therapy session with her.
- Dr. Fried is the first doctor to acknowledge that Deborah does indeed have mental illness and isn't faking it to get attention or to be defiant. This realization makes Deb open up to Dr. Fried a little and have hope that maybe she could get better—as long as it's on her own terms.
- Dr. Fried assures Deb that she won't have to give up any symptoms of her illness until she's ready to.
- Deborah should feel relieved at Dr. Fried's openness, but she's used to people lying to her. She feels panicked—like there's a rope tightening around her neck.
- When Deborah refers to the mental hospital as hell, Dr. Fried offers her the hope that one day she won't see it that way. If they work hard together, Deborah can get better.
- Dr. Fried states she can see a "hidden strength" (3.54) in Deborah and says that she wants to make that strength come forward this time, hinting that she may have failed with previous patients.