In the psychological literature, depression is often seen as a defense against sadness. But I'll take sadness any day. There is no contest. Sadness carries identification. You know where it's been and you know where it's headed. Depression carries no papers. It enters your country unannounced and uninvited. Its origins are unknown, but its destination always dead-ends in you.

People say, "I have heart disease," not "I am heart disease." Somehow the presumption of a person's individuality is not compromised by those diagnostic labels. All the labels tell us is that the person has a specific challenge with which he or she struggles in a highly diverse life. But call someone "a schizophrenic" or "a borderline" and the shorthand has a way of closing the chapter on the person. It reduces a multifaceted human being to a diagnosis and lulls us into a false sense that those words tell us who the person is, rather than only telling us how the person suffers.

Some struggles are so solitary that they drown in words.

It's enough just to speak when spoken to, to give some minimal reaction to a stimulus. But to actually be the stimulus doesn't even occur to me.

The body remembers what your mind forgets.

Psychologists call it "free-floating" anxiety. What contradictory words. Anxiety doesn't free-float. It stalks. It attacks. It lands on you with a thud.

The images are visual, auditory, olfactory, kinesthetic. They aren't laid down on the same tracks as thought. And sometimes, when they return to you, it is as if you feel them for the very first time. Memory lives on in the details, like the color of a room, a tone of a voice, the touch of a child, the smell of a man.