The Untold Truth Of The Patient

With the right team of actors and writers, even a simple premise for a story can be highly engaging and entertaining. "The Patient" is an excellent example of this, as the show centers on just two main characters — a therapist and a severely troubled patient who kidnaps him in order to stop his sick habit of murdering people. More characters are thrown into the mix as the story develops, but it is the captivating interactions between leading stars Steve Carell and Domhnall Gleeson that really drive the tale.

From the brilliant minds of Joe Weisberg and Joel Fields, the showrunners of "The Americans," this latest creation of theirs retains much of the tension associated with "The Americans" but at a disturbingly slow pace. Gleeson's character sparks true terror, as we never know when his wrath will erupt into violence. Meanwhile, the audience can sense the desperation in Carell's character trying to figure out how to save himself as he also struggles with his own inner demons. Details from behind the scenes only reinforce the notion that a lot of dedication went into this production — a notion that the 10-episode limited series already makes plainly obvious. 

Ever since news of "The Patient" was released, the project has been closely associated with Steve Carell. This might lead you to believe the creators had him in mind as the protagonist from the beginning, but that was not the case. In an interview with Collider, Weisberg said, "It's an interesting thing because in Hollywood, there's a lot of 'Who do you picture?' and Joel and I never really thought that way. I don't know what he has in his head, but in my head, I have an amorphous blob for every person when we're writing. It's barely recognizable as human. I don't know if Joel has a blob." Fields then joked that in his mind they are not blobs, but cotton candy.

The character of therapist Alan Strauss was already written when the showrunners found out that Carell wanted to collaborate on something, and it did not take long for them to realize that the actor would be perfect for the part.

When Domhnall Gleeson read the script of "The Patient," it was instantly important to him that the serial killer character he would play was not portrayed in an all-too-common Hollywood fashion. In an interview with Decider, he explained, "There's a really bad version of that show that's quite schlocky and that is all about the mythologizing of the serial killer and this sexy, strange guy who's intriguing in a way that, you know, I find a little bit distasteful. I don't like that version of things. And there's been a lot of it."

Upon discovering that his character, Sam, was not like that, it made Gleeson appreciate the story so much because to him it was a more appropriate way to deal with the dark subject matter. As an added bonus, the more he read, the more intrigued he became, especially in the realization that he had never played a role like that before. Likewise, Steve Carell told USA Today that he was fascinated with the way that the two main characters interact as the series progresses because he was often unable to predict what would happen.

For "The Patient," Joe Weisberg and Joel Fields used their own backgrounds to develop both main characters. Sam has an obsessive nature throughout the series, not only concerning murder, but also with his two favorite hobbies — eating delicious food and listening to Kenny Chesney music. The showrunners are deeply familiar with both subjects because they happen to be fans themselves. Everyone enjoys eating, of course, but it's a deliberately cultivated palate and intellectual curiosity about food that differentiates people who like food from real foodies like Sam the homicidal maniac. 

Sam's interests more so reflect those of Weisberg, as he revealed to USA Today. Apparently, he considers himself an unofficial member of the "No Shoes Nation," the name for the group of diehard fans of Kenny Chesney. And while Fields admitted he does enjoy great meals, or even just conversing about food, he also told Collider that his co-creator is more of a foodie than he is.

From the very beginning of "The Patient," a major feature of the story is how Steve Carell's character is shackled to a bed to prevent him from escaping from his serial killer patient, Sam. And just like Alan, Carell was actually locked into his manacles during filming, but was much more fortunate in that the props guy would eventually release him at the end of the shoot. The actor also made sure that a spare key was always within reach because the possibility that he might get trapped in an emergency was too scary to risk. 

Yet even though Carell was never a real captive, he did admit that the production was rough, especially at first. He told the New York Times, "The physicality of it was more than I expected. It was instantly claustrophobic to know that I had a span of about 10 feet to move for about three months of work. You couldn't move too fast or you'd cut your ankle — I found that out pretty quickly."

As a true master of his craft, Carell tried his best to understand how his character would have felt chained up at all times, so he even wore the manacles when he did not have to. The actor revealed to USA Today, "Even when I was off camera, I put it on because it just felt different." Not only did that give him a good perspective to play the captive, but oddly enough, he even began to feel comfortable wearing the shackles.

Before "The Patient," Steve Carell and Domhnall Gleeson had never worked together, but the experience ended up being highly positive on a personal level for both of them. Gleeson revealed to Decider that even before he was hired, one of his main motivations to join the project was the opportunity to work with Carell, but it turned out better than what he hoped for. He said, "Even though my expectations were so high of working with [Carell], even still, he managed to surpass them just by being such a gorgeous person. Such a kind person. Being so nice to be around. And then being so great in the show and being so great on-camera and off-camera."

Likewise, Carell knew right away that they no longer had to look for his co-star when Gleeson arrived. He told The Wrap, "It was instant. After the first scene, it was clear that he was the right person for that role. There was a chemistry. I can't remember having a better working experience with another actor."

The two actors were not the only ones very pleased with the casting. As Joe Weisberg and Joel Fields watched Gleeson read lines together for the first time, the creators quickly sensed a similar vibe to how Keri Russell and Matthew Rhys worked so well together in their previous hit series, "The Americans" (via Yahoo! Entertainment).

Even though the subject matter is very serious in "The Patient" and was approached that way by the creators of the show, there were moments of surreal, dark humor that would sometimes cause the actors to break character and laugh. When talking with the New York Times, Carell explained, "It's certainly not a comedy. But in table reads, we'd be laughing out loud because these comedic moments were juxtaposed with the most horrific things going on in these people's lives."

During those moments, it was healthy for the mood to be lightened occasionally for the cast and crew. But the actors were also encouraged to improvise with dark humor if they felt it worked in the scene. Domhnall Gleeson discussed how well this worked with Carell and said, "It felt very comfortable to offer up something which was a little dangerous in terms of maybe the comedic aspect or the intensity of the emotion because he's always just right there."