Ah, there it was. Another instance of really needing a psychiatrist and only having him around. And at that moment, he wasn't her doctor anymore. Because what Kat really needed was a friend. And that he could provide, even if he wasn't always the best at it.
"Maybe it sounds stupid, but what about leaving little notes around your apartment? Or pictures, you like taking pictures, right? Tape up things that might ground you. Notes to yourself about what's important, where you are, messages to remind you that you're going to be okay." It was probably the lamest advice ever given, but it was his first thought. It was something he did with River sometimes, in her worst moments. She had him to bring her back from the edge. To remind her that she wasn't alone, that she had him and Mara and plenty of the Serenity crew, and they were going to be fine because they were all together. Kat lived alone. She didn't have someone there, pushing her to remember that things would be okay. She'd need to push herself. It was the only way manageable.
"It may be bad," he added, offering a small but sympathy-filled smile. "But it isn't crazy. After what you went through, it's probably expected."