Clowns with tears in their eyes

I see a lot of promise in this idea - it's interesting, relevant, and human. With good, strong and realistic characters (we don't really see them enough to judge that yet) this could be very interesting. Here's the text with my notes on it, I added them as I went.

“I’m a comedian” said Juliet. “And I make a lot of money, and I make a lot of people laugh.”

“Then why are you here?” asked Dr. Amen

Juliet looked out the window for the sixteenth time that minute. #00BF40 ">[I really, really like that detail! I'd definitely say you keep it: it immediately gets the point across, presenting a lot of personality and atmosphere in just one sentence. The audience now knows that she's a bit uncomfortable, evading and absent-minded.]

“#0080BF ">(Because#0080BF ">) I can’t make myself laugh.”

This was a rather common answer in Amen’s office. When he was asked he described his job as one long irony. He treated comedians suffering from depression. He had begun working on that particular stream when he realized the sheer number of cases. His work, most of the time, was quite simple. What most of them needed was a rest and a detox and a good shaking of the shoulders. #00BF40 ">[This paragraph feels a wee bit awkward - a lot of short, mainly telling (notice the repeat of the "was" word!) I'd cut some of it/try to present it in a different way, because it feels infodump-y.]

However, his latest client, Juliet, however was more difficult. #00BF40 ">[Added that because "his latest Juliet" sounds like she's the tenth Juliet he's handled, and that we're speaking of a Juliet (as an object, place, etc., not a person...] She didn’t cry or break down, or show any emotion at all. She spoke all her words in a dry monotone. Her hair was pulled back firmly from her face in a ballerina bun. Her eyes were a dull grey and surrounded by too much blue eyeliner. She didn’t, like most comedians, have any great grief in her life. She was middle to upper class, with good relationships with both her parents. She had never been in a serious relationship, but at 23 that seemed normal. #00BF40 ">[Again, the text becomes dry. If you were to expand this idea into a longer story, you could spread this information out and show it rather than tell it.] Yet here she was, 20 kilo’s underweight with dark marks scorching her pasty skin. #00BF40 ">[<- Liking the description here.]

“I want you to come back tomorrow,” said Amen. “And to ease you off your medication. I don’t think it’s good for you.”

“Whatever you say” she said, easing her way off the chair, not daring or bothering to look him in the eye.

Indeed, not bad. As I said in there, it does feel a little rushed - with more time, words and space to unfold this piece would become stronger. Rather than infodump both backstories and tell us about behaviour, you could dive into those histories by making them a subject of a discussion, having a flashback or showing certain thoughts or regrets the characters have. More interaction between the two characters would also give you opportunity to describe Juliet's speech style, appearance and other behaviour more naturally. :) With a bit of work this could really shine!
Oh, and remember to end your sentences in periods and add commas to the end of dialogue when appropriate! Those are small, yet painfully obvious mistakes that are thankfully very easy to both learn and fix. :))

“I’m a comedian#FF0000 ">,” said Juliet. “And I make a lot of money, and I make a lot of people laugh.”

“Then why are you here?” #FF0000 ">asked Dr#FF0000 ">. Amen

Juliet looked out the window for the sixteenth time that minute#FF0000 ">. #FF0000 ">This is a little too specific. I would go back and just say that she was fixated on the window, or whatever what was outside of it (snow? rain? Godzilla attack?...OK, maybe not that last one, but a little bit of scenery outside the window could go a long way in establishing mood, even if it is for a brief story like this)

“Because I can’t make myself laugh#FF0000 ">.”

This was a rather common answer in Amen’s office. When he was asked he described his job as one long irony. He treated comedians suffering from depression. He began working on that particular stream when he realized the sheer number of cases. His work, most of the time, was quite simple. What most of them needed was a rest and a detox and a good shaking of the shoulders.

His latest Juliet#FF0000 ">, however#FF0000 ">, was more difficult. She didn’t cry or #FF0000 ">break down, or show any emotion at all. She spoke all her words in a dry monotone. Her hair was pulled back firmly from her face in a ballerina bun. Her eyes were a dull grey and surrounded by too much blue eyeliner. #FF0000 ">Like most comedians, she didn't have any great grief in her life. She was middle to upper class, with good relationships with both her parents. She had never been in a serious relationship, but at #FF0000 ">twenty-threethat seemed normal. Yet here she was, #FF0000 ">twenty kilo’s underweight with dark marks scorching her pasty skin. #FF0000 ">Nice imagery on that last bit.

“I want you to come back tomorrow#FF0000 ">,” #FF0000 ">said Amen#FF0000 ">. “And to ease you off your medication. I don’t think it’s good for you#FF0000 ">.”

“Whatever you say” she said, easing her way off the chair, not daring or bothering to look him in the eye.

I know that looks like a lot of red, but a lot of this is my opinion and even more of it is little more than simple grammatical oversight. This was a cool little story, even though I normally detest the "slice-of-life" class of short story that never really have endings. The idea and the MC are well-developed, especially considering how short the piece is. I would definitely hang on to this one And remember, keep writing!

Treating depressed comedians? Well. That's original. You'd think comedians would be all fun and games and laughter...but I guess not.

Critiques:

Juliet looked out the window for the sixteenth time that minute

Waaaay too specific. You really don't have to go into such specifics. Think of it this way: Is anyone counting?

His latest Juliet however was more difficult.

This should be written as follows: "His latest patient, Juliet, was more difficult."

“I want you to come back tomorrow” Said Amen “And to ease you off your medication. I don’t think it’s good for you”
“Whatever you say” she said, easing her way off the chair, not daring or bothering to look him in the eye.

"Said" should not be capitalized, there should be a comma after "Amen," and you've said "ease" twice in only these two sentences.

So. That is about it. PM me with any questions or whatever. I hope this was somewhat helpful.

-Kafka