Blog

Feb2
2021

1 in 5

By Kara Marsh

This piece briefly mentions the topic of suicide. Please use your discretion. 

There’s this notion that depression is this quiet insidious thing lurking under flickering streetlights and waiting in dark alleyways while smoking a cigarette. Meaning, we believe mental illness is something that lives only in the peripherals of our society. We recognize it’s a problem—it is a problem—but it’s buried beneath years of grime and abuse and neglect. Society tells us there is too much of it to tackle, that there are more pressing issues at hand—and we could never afford to clean up the entire city anyway.

So how do we, the ones who pass by the alleys and rely on the streetlights, navigate a world where we’re told it’s not important enough? More than 17.3 million adults in the United States have experienced a major depressive episode, and an estimated 46.6 million adults have experienced some kind of mental illness in their lifetime. That’s 1 in 5 people. With the pandemic and quarantine restrictions, many experts anticipate these numbers to only grow. Yet we continue to fail to address these concerns with the level of urgency and compassion that is needed. There’s still a lack of accessible and plentiful resources, continued social stigma against those who experience mental illness, and widespread misinformation confiscating the problem.

As someone who has suffered from depression for almost 15 years, mental illness has always worn a red dress. It shows up late to the party, laughing. Even though it never sits down, it somehow takes up all of the space. No matter where you are in the room, you can always find it. For me, I have never been able to ignore my depression for long. It appears in my happiest moments and stays on the coldest, loneliest nights. Yet every day that I go to work or interact with friends, I have to pretend that it isn’t there. That I don’t see it, or know it, or love it. This, of course, is the side of mental illness we can’t bear to understand. How could anyone love or need or hold onto something so tightly, even when it costs them their life?

When I was first diagnosed with depression, my doctor prescribed me antidepressants and I started attending therapy on a regular basis. I told my mother that I wanted my father to know, and when I told him about this thing that had caused me so much pain, he laughed. He said, “pills are for crazy people, you don’t need them.” I remember leaving his house in tears and telling my mother that I never wanted to see him again. She told me that once, a long time ago, my father tried to kill himself in his parents’ garage. 

How can we pretend this beacon in a red dress doesn’t exist? That it isn’t significant and worthy of attention? The problem is only growing, and we just keep putting it off for the next generation to deal with. We have to acknowledge that these dark alleyways, these flickering streetlights and graffitied buildings, are still part of our city. They exist here and now, and can’t be pushed to the fringes. People are dying and mental illness is wearing a bright red dress, laughing the loudest, hoping there will be a day when someone asks it to sit down. 


Depression has a way of making us feel incredibly isolated. We’re here to remind you of the truth that you are not alone. We encourage you to use TWLOHA’s FIND HELP Tool to locate professional help and to read more stories like this one here. If you reside outside of the US, please browse our growing International Resources database. You can also text TWLOHA to 741741 to be connected for free, 24/7 to a trained Crisis Text Line counselor. If it’s encouragement or a listening ear that you need, email our team at info@twloha.com.

Leave a Reply

Get Email Updates

Sign up for our newsletter to hear updates from our team and how you can help share the message of hope and help.

Join our list