The image is a painting of a woman in pain. She is holding her head in her hands and her face is contorted in agony. The background is a bright, swirling mass of colors, which suggests that she is in a state of great emotional turmoil. The painting is done in a realistic style, and the woman's expression is so vivid that it is easy to empathize with her pain. The overall effect of the painting is one of sadness and despair.