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Silence is the loudest cry – my approach to depression

Ewa Powalska

Depression can strike at any time, and about one in ten people will experience depression at some point in life. It can affect individuals at any age, including children. However, the exact number of people with depression is hard to estimate because many people do not get help or are not formally diagnosed with the condition. There is no single cause, and people develop depression for different reasons including neurochemical or hormonal imbalances, a certain style of thinking or as a result of unfortunate experiences. I also think it is quite important to mention that depression is routinely positioned as a woman’s disease, in part because of the recognition of a lower incidence of depression among men compared with women. However, this lower incidence might be a by-product of the male tendencies to deny illness and avoid health care providers as a means to enact and preserve their masculinity.

I had the opportunity to encounter patients with depression briefly during my GP Attachment. What I noticed firstly was how embarrassed these individuals were about this condition. They seemed to know they needed help but at the same time, they did not want to ask for it. My experiences inspired me to create a portrait of a woman whom face we cannot see. There is just a black hole instead – representing silence, sadness and emptiness. She looks at us but we cannot truly see her. She might be saying something, shouting for help, even crying – but all we can see is a black hole. People suffering from depression very often put a mask on their face trying to give an impression that everything is fine – when inside they cry out for help. The background is constructed from texts taken from different articles about depression.

Whole Person Care, Year One, 2011