If depression were as physically evident as, say, a broken limb or cancer, it would be easier to talk about. The pain could be marked, quantified, obvious to the observer. You would feel justified in saying, “I’m sorry that I haven’t returned your email but you can see the huge hole in the center of me, and I’m afraid it has made such dialogue impossible.” But the stigma of depression is that it comes with the sense that you shouldn’t have it to begin with. That it is self-indulgence or emotional incompetence rather than actual illness. This brings on attendant feelings of shame and self-loathing, which only exacerbate the pain, isolation, and hopelessness of the condition. “I cannot share this,” the depressed person thinks. “It is too embarrassing, too shameful.” And so, you swallow it down, until it feels that your heart is a trapped bird beating frantic wings against the pain you’ve shoved up against it. Depression isn’t like being sad or blue or wistful. It is crippling. It is a constant whine in your head, making it hard to hear yourself think.
The other trouble is that it is often incredibly difficult to articulate the pain you feel. Words prove inadequate, and the distance they must travel from this deep well of grief and loneliness up to your mouth seems impossible to traverse. It is miles and miles of no-man’s land. How can you communicate something so without form? Depression is a vengeful ghost you see from the corner of your eye always but you know that no one else can see it. So how do you alert anyone to its presence in the room?
That’s pretty much how it is.