Perhaps, for many, staying hidden is part of the point. I think of Tipper Gore, who first spoke publicly of her depression in a front-page interview with USA Today. After her son recovered from a nearly fatal accident, Gore explained, she saw a social worker and was told she "had a clinical depression and one that I was going to have to have help to overcome."
She continued, "What I learned about it is your brain needs a certain amount of serotonin and when you run out of that, it's like running out of gas, it's like you're on empty. When you get to this point of being seriously depressed or what we call 'clinically depressed,' you just can't will your way out of that or pray your way out of that or pull yourself up by the boot straps out of that. You really have to go and get help, and I did. And I was treated for it successfully, I'm happy to report."
Gore did not describe in what way she felt depressed, nor how it affected her life only that she had a "clinical depression . . . and I was treated for it successfully." Her reticence might have been motivated by discretion, or a wish for privacy, and I do not begrudge her these. I appreciate her candor, insofar as many would choose to say nothing. Still, like so many public figures who have made similar confessions, she hinted at intimacy then quickly withdrew behind a wall. The word depression was that wall.
It is inevitable that we abbreviate and simplify. (It is apparent even in this essay that I see no way around the words "depression" and "melancholy.") But it is one thing to use shorthand while straining against the limits of language. It is quite another to mistake such brevities for the face of suffering. Each year, seventeen million Americans and one hundred million people worldwide experience clinical depression. What does this mean, exactly? Perhaps they all have deficits of serotonin, feel hopeless, ruminate on suicide. But why? What wrinkles crease their minds? How are they impaired? For how long--two weeks? a month each year? an entire life? And from where does this depression come?