GOOD, but disturbing. 1st glance, I think of a cancer pt, with post chemo hair and the lymphedema arm, but then I see the needle and the grunge which overpowers image and I wonder drugs?? Both? anyway, a powerful image.
Yikes! I never know how to rate these... It's certainly not pretty, but it's powerful and thought-provoking, thus clearly effective. The left image, in particular, seems quite surreal. Excellent job in post, colors and textures are great.
This is getting very nit-picky, and I don't know the effects of the drugs here, but I read in this a very immediate fear, but less of the longer-term angst that I might expect or desire to see. She looks like she's afraid of someone outside the door, but not like she sees this state as a reflection of longer-term lifestyle choices...
Anyway, obviously if I'm going there I think your technicals are esentially perfect and the overall effect is really good. 10.
Like pro bono work fo a public information poster campaign. Nicely designed - my only small wish is that the model was not quite so theatrical about the subject. But then again it is not an easy part to visualize and act out.