Ordinarily my first response would be 'it's way too overexposed'. But it works for this. Something about the extreme harsh light but subtle, soft shadows, furthers the idea of good/bad health, both physical and mental. Being in the spotlight, focused on, poked and prodded and tested.
I absolutely love the expression and hand-to-mouth contact, and speaking of contact i love the eyes. They still bore into the viewer even though they're barely discernible. I love this technique of making the person so unfocused: barely visible, almost ghostlike, and making the pills the 'real' hard subject. Though, the message is a wee bit unclear, mixing up these elements (hand to mouth, somewhat angry, loaded expression, and the handful of pills, could lead the viewer to think of suicide. But it's easily just a show-tell; an offering, a 'this-is-what-my-life-is'.
The bottom of the image is a little messy (the patches of severe light and shadow under the wrist. Also the fingers of the front hand have been 'flattened': the extreme exposure has blotted any hope for detail for them.
Overall though, effect achieved! A chilling, saddening, effective representation of life with medication.