The pervasive influence of Dr Thomas John Graham’s Modern Domestic Medicine (1826) in the Brontë household is well known. Patrick Brontë’s copy includes extensive marginal annotations relating to his children’s health complaints. 1 Like her father, Charlotte took a definite lay interest in medicine, the pseudosciences and the developing field of psychology, and included doctors in her fiction as ‘friends offering crucial assistance and understanding’. 2 In Villette (1853), 3 the doctor all but replaces the priest in taking confession and endowing revelation intended to lift the spirits. Dr Thomas John Graham and the writers of similar early- to mid-nineteenth-century medical reference works in this way enter Brontë’s text in a position of some esteem, through the aptly named fictional practitioner, Dr John Graham Bretton. Though Dr John ‘looks in and sees a chamber of torture’, however, he ‘can neither say nor do much’, an acknowledgement of the limitations of his ‘art’, 4 and of the names and categories assigned in particular to female nervous sufferers. By first considering some of the difficulties experienced in picturing women’s mental suffering by, variously, the self-reflexive author of fiction, the fictional ‘patient’ and the emblematic diagnostician, this chapter then investigates the way theories of miasma, in conjunction with representations of distempered air and storm, are used by Brontë to provide a channel through which images of traumatic disturbance could be explored, beyond the limiting diagnostic categories usually assigned to female sufferers.