It's an unfortunate word, 'depression', because the illness has nothing to do with feeling sad, sadness is on the human palette. Depression is a whole other beast. It's when your old personality has left town and been replaced by a block of cement with black tar oozing through your veins and mind. This is when you can't decide whether to get a manicure or jump off a cliff. It's all the same. When I was institutionalised I sat on a chair unable to move for three months, frozen in fear. To take a shower was inconceivable. What made it tolerable was while I was inside, I found my tribe - my people. They understood and unlike those who don't suffer, never get bored of you asking if it will ever go away? They can talk medication all hours, day and night; heaven to my ears.

Classifying depression as an illness serves the psychiatric community and pharmaceutical corporations well; it also soothes the frightened, guilty, indifferent, busy, sadistic, and unschooled. To understand depression as a call for life-changes is not profitable. Stagnation is not a medical term. The 17.5 million Americans diagnosed as suffering a major depression in 1997 were mostly damned. (Psychobiological examinations confuse cause and symptom.) Deficient serotonergic functioning, ventral prefrontal cerebral cortex, dis-inhibition of impulsive-aggressive behavior, blah blah blah: the medical lexicon boils emotion from human being. Go take a drug, the doctor says. Pain is a biochemical phenomenon. Erase all memory.