The Capgras Shift

My marriage aborted, my private practice stillborn, I packed stale possessions in two flabby suitcases and bade my sterile apartment a tearless goodbye. On the spur of the moment, I had applied a fortnight before to a government post and, to my consternation, had won it handily. I was probably the only applicant.
It was an odd sort of job. The state authorities had just finished submerging 4 towns, 6 cemeteries, and numerous farms under the still, black waters of a new dammed reservoir of drinking water. The process was drawn out and traumatic. Tight-knit communities unraveled, families scattered, businesses ruined. The government undertook to provide the former inhabitants with psychological support: an on-site therapist (that's me), social workers, even a suicide line.
I had to relocate, hence my haphazard departure. I took the bus to the nearest big city and hitchhiked from there. The fare just about amortized my travel allowance for the entire week. I had to trudge in mud the last two or three kilometers only to find myself in a disorienting, nightmarish landscape: isled rooftops and church spires puncturing the abnormally still surface of a giant man-made lake. I waded ashore, amidst discarded furniture and toys and contemplated the buried devastation.
My clinic, I discovered, was a ramshackle barrack, replete with a derelict tiny lawn, strewn with rusting hulks of household goods. I was shown by a surly superintendent into a tiny enclosure: my flat. Crammed into a cubicle were a folding metal bed, military-issue blankets, and a depleted pillow. Still, I slept like a baby and woke up refreshed.
The first thing that struck me was the silence, punctuated by a revving-thrumming engine now and then: not a twitter, not a hum, not a human voice. There was no hot water, so I merely washed my armpits, my face and hands and feet and combed my hair the best I could, which wasn't much by anyone's standards. I was plunged into the maelstrom straightaway. My first patients, an elderly couple, their disintegrating marriage and crumbling health mirrored by the withering of their habitat.