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Source: https://writers.stackexchange.com/a/1997
License name: CC BY-SA 3.0
License URL: https://creativecommons.org/licenses/by-sa/3.0/

Source: https://writers.stackexchange.com/a/1997
License name: CC BY-SA 3.0
License URL: https://creativecommons.org/licenses/by-sa/3.0/

- 4AM at a psychiatric clinic packs a fair punch as an opening. Nothing interesting _should_ be happening there and then, but if something _did_, it would probably be awfully interesting! The improbable hour is a very nice touch, IMHO, that potentially takes this a step above merely using a clinic to show off a socially sensitive character or expose some character conflicts.
- What bothers me most about the opening is that it is extremely cinematic. By "cinematic" I mean that the text describes to the reader what he would _see_, e.g. if he were watching this scene on film. Sometimes, cinematic writing is appropriate and excellent. Oftentimes, though, it isn't. What most readers expect from a book - and particularly from the opening pages - is to be immersed in a particular character's viewpoint; to ride around in his mind. Cinematic is the opposite of that - look how, in your description, the reader is placed firmly **outside** of the single character present. The reader may instinctively feel distant from the character - maybe no more than in any movie, but far more than in most books. Unless you intend to be writing much of this novel in cinematic tone, I strongly suggest that you find your point-of-view character and voice for this scene, and use it from the very first line.
- A major effect of cinematic viewpoint is that there's no actual character doing the talking - it's all meant to be visual (or sensory, anyway), with no subjective interpretation. That means it's tough to get away with lines like "he doesn't resemble somebody who would treat mental disorders" - who is it who's making this observation? "Doesn't resemble" in whose opinion? How do you get away with "His only qualification seems to be...", when in the story, there's no one looking for qualifications and nobody in whose eyes the seeming takes place? 
  - If this is something you **want** to do throughout your novel, you should read up on omniscient narration - that's where you've got a particular narrator voice, not necessarily tied to a concrete character, but with some measure of personality, interest, and awareness. And the narrator "sees" everything - basically an artificial construct to do all the seeing and opinionating. I'm not sure this is a direction you intend to be headed, though.
- Another big difference between movies and books is that in the movies, you just see a psych clinic, or a figure. In a book, unless there's a good reason to do otherwise, you can (and should) name things explicitly; make them specific. It makes no sense for a disembodied voice to tell me, the reader, that something happened at **a** clinic without knowing and telling me **which** clinic. Now, you don't have to give proper names for everything - but referring to them as "the clinic," "the figure," etc., gives a sense of describing something specific and immediate - rather than a disembodied narrator introducing the scene to an implied reader.
- I didn't like the phrasing of "a person who is certified in treating mental disorders" - it seems very long and awkward. I also didn't like "The only qualification seems to be is his sharp and intellectual look in his eyes" - attributing great significance and deep characterization to the way somebody's eyes look is a particularly unconvincing cliche. 

I apologize that this is more criticism than direct recommendations for improvement; hopefully I've pointed out what needs to be improved, and made it clear roughly how. If I can, I'll be back later to give an example of a rewrite according to my above comments.

Hope these comments are helpful :)

Original score: 3