How do you know the difference? a) Extreme and Outrageous. A person can experience this in any workplace and at all levels of an organization. This evidence could take many possible forms. While life may seem like "business as usual" to you, if friends or family members are commenting on your "moody" behavior, experts say pay attention. A practical joke by a babysitter that the parent's child swallowed scissors. If you’re struggling to sleep well if you can’t fall asleep or if you … Being in a negative mood increases the likelihood of self-regulation failure, such that dieters eat more, alcoholics report a greater craving for alcohol, and smokers experience a greater desire to smoke. D, a bill collector, verbally attacks P in order to get P to pay his bills. Also look out for a lack of appetite. Whether or not a mental health problem is present, emotional distress can be overwhelming and affect daily functioning. Emotional distress is a state of mental anguish that can take a wide variety of forms. Emotional Distress Examples Diminished quality of life Lost enjoyment of life Cognitive changes after a head injury Distress over a disability Embarrassment or humiliation Psychological trauma Post-traumatic stress disorder Losing sleep Anger or frustration If you're sleeping more than usual or less than usual, if you can't fall asleep or wake up after only a few hours and can't go back to sleep, experts say emotional distress may be looming large in your life. Failure to seek medical treatment is admissible as evidence of a lack of serious emotional distress. For example: D calls P several times in the middle of the night to bother him. Emotional and Social Distress. Example of Emotional Distress from a Car Accident. In certain cases, such as those pertaining to sexual harassment, the only consequence that a court can legally recognize and award damages for is emotional distress. The more extreme the underlying cause of the emotional distress, the more likely a court will find emotional distress. Recognizing Emotional Distress in Children Everyone has mood swings. Examples of instances where cases may be brought on these grounds include sexual harassment, false imprisonment, and stalking. An intentional infliction of emotional distress example could involve an outrageous act directed towards the plaintiff’s family member, in the presence of the plaintiff. Are you going through the motions and not feeling the pleasure that sex once brought to your life? It may resolve on its own or when a stressful situation concludes. "The key is how often you are feeling this sense of distress, how bad it gets, and how long it lasts; that is what can help determine the seriousness of your situation," says Abby Aronowitz, PhD, the director of SelfHelpDirectives.com. It can refer to a wide range of symptoms from a variety of mental health disorders, but many people without any disorders experience it. Unlike intentional infliction of emotional distress , in which intent is the central consideration, NIED assumes the defendant has a legal duty to use reasonable care with regard to the plaintiff. If everything checks out OK, ask your doctor if you might benefit from professional counseling. For example, if a defendant refused to inform a plaintiff of the whereabouts of the plaintiff's child for several years, though that defendant knew where the child was the entire time, the defendant could be held liable for IIED even though the defendant … People can experience it at any time, and it is usually temporary. An employer who swears at an employee before firing them. In women and young girls a loss of menstruation in conjunction with changes in appetite can also be a sign of trouble. All rights reserved. Here, learn what emotional distress is, what can cause it, and what to do next. "Constant preoccupation with food, weight, and body image is a sign that an eating disorder is sapping energy from other areas of life," says Aronowitz. Intentional and Negligent Causes of Emotional Distress Examples It is common to experience stress and anxiety after an accident. Anyone can experience it, and it can be a part of a mental health disorder. Below we list examples of evidence that you could use in your claim: Physical injuries: Physical injuries due to the incident can be relatively easy to identify. Sleep disturbances. MNT is the registered trade mark of Healthline Media. Which of the following is an example of intentional infliction of emotional distress? B suffers severe emotional distress. During a crisis, people who are hard of hearing can call 800-799-4889. Have you gained or lost a significant amount of weight without any changes in your diet or exercise regime? In this article, we look at the…, Eye movement desensitization and reprocessing, or EMDR, is a type of therapy that doctors sometimes recommend for people with post-traumatic stress…, Acute stress disorder (ASD) is a short-term condition that can develop after a person experiences a traumatic event. The wrongdoer’s behavior must be deemed extreme and … The National Suicide Prevention Lifeline is available 24 hours per day at 800-273-8255. Even if you don't see the signs in yourself, Kalayjian says consider counseling if your boss, co- workers, spouse, family, or friends are frequently telling you to calm down and watch your temper. The treatment usually involves identifying the triggers and practicing techniques to reduce stress. Goodstein adds that feeling too "beat" to do the things you used to love -- even when a physical checkup shows everything is alright -- can be a sign of emotional distress and depression. Aronowitz adds that if phobias or fears of certain places or events are keeping you from doing what you want, then anxiety may be looming large in your life. 9. Do you seem fine at work but the minute you're home you jump into bed and just "veg out"? Some symptoms of emotional distress include: The characteristics of emotional distress may vary depending on the presence of any underlying mental health disorders. Intentional Infliction of Emotional Distress (IIED) occurs when your employer purposely causes severe emotional distress to you as a result of extreme and outrageous conduct. And sometimes if your mind becomes so cluttered with obsessions, and your day so filled with compulsions, life as you know becomes completely taken over by anxiety and counterproductive rituals," says Aronowitz. 2. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts. If emotional distress is unmanageable or not improving, it is advisable to contact a doctor or mental health professional. 4. 6. Feelings of mental anguish and suffering are referred to as emotional distress. Penny thought it would be funny to place a plastic snake in her roommate Brad's sock drawer. Doing this is particularly important if there are other signs of a mental health disorder, such as depression or anxiety. Compulsive/obsessive behaviors. But it can also be caused by stress, a reaction to a traumatic event, or sometimes an illness such as Alzheimer's disease. A bill collector threatening legal action and to ruin an individual's credit for not paying a bill. If you're sleeping more than usual or less than usual, if you … For example, in a person with borderline personality disorder, emotional distress may cause both angry outbursts and intense feelings of loneliness. Memory problems. Intentional Infliction of Emotional Distress: This claim for emotional distress occurs when a defendant’s actions are intentional or reckless. WebMD does not provide medical advice, diagnosis or treatment. Dramatic weight fluctuations/changes in eating patterns. Some examples of serious emotional distress include traumatically induced neurosis, psychosis, chronic depression or phobia. This is actionable as an intentional infliction of emotional distress. Kalayjian, EdD, RN, adjunct professor, psychology, Fordham University, New York How Long Does Coronavirus Live On Surfaces? Sex is no longer fun. SOURCES: Charles Goodstein, MD, clinical professor, 3. Are you turning down invitations because you simply feel better when you stay at home? Compulsions are behavioral acts designed to eliminate the obsessions. John suffered broken bones in his left leg, had to be hospitalized, and … While that distress may be linked to your relationship with your partner, experts say just as often it could be linked to anxiety stemming from a totally different area of your life. To help a person identify the cause of their symptoms, a doctor may ask them about recent experiences and major life events that may be sources of distress. Shunning social activity. Intentional Infliction of Emotional Distress Many people have a fear of spiders, or arachnophobia. There is no clinical diagnosis of emotional distress. A person can negligently cause emotional damage without intending to do so. Emotional Distress in California Personal Injury Cases Attorney Michael Rehm -- (800) 978-0754. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional, Study reveals UV LED lights effectively kill the human coronavirus, Study offers a mental well-being 'tool kit' anyone can use, Study reveals how exercise improves metabolic health, COVID-19 vaccine: Low-income countries lose out to wealthy countries, How to recognize and cope with emotional exhaustion, Symptoms of mental exhaustion and tips to alleviate it, EMDR therapy: Everything you need to know, feeling overwhelmed, helpless, or hopeless, having difficulty thinking or remembering, relying more heavily on mood-altering substances, such as alcohol, experiencing unusual anger or irritability, having difficulty keeping up with daily tasks, relationships with colleagues or managers, experiencing relationship problems with partners, other family members, or friends, undergoing major life changes, such as moving home or having a child, living in a neighborhood that faces inequity and a deprivation of resources, having an unhealthful lifestyle, which might involve smoking or low levels of exercise, Ask the tough question: “Are you considering suicide?”. Do you love your partner, but just don't want to make love? Emotional distress caused by physical injury. "Not being able to control your anger is a sign of inability to manage feelings. And this is the one symptom that has the biggest impact on other people; children and women especially are affected," says Anie Kalayjian, EdD, RN, adjunct professor of psychology at Fordham University in New York City. To help you gain some important perspective on the problems in your life, three experts helped WebMD put together this list of symptoms you should not ignore. Emotional distress is a state of emotional suffering. Some people are more at risk than others, including those in demanding jobs or with…, The symptoms of mental exhaustion can be physical, emotional, and behavioral. Some causes of emotional distress related to work may include: Sometimes, circumstances build and combine in unexpected ways to cause distress. "Diminished sexual desire and inability to feel joy in the sexual act itself can be a sign of emotional distress," she says. "Obsessions are repetitive thoughts which resemble worry and are accompanied by anxiety. "Unusual symptoms that resist the million-dollar workup can be a sign that your body is expressing some kind of emotional upset," says Goodstein. Making certain lifestyle changes, such as quitting smoking and becoming more physically active, can also help. Has the fun gone out of life because you are constantly worrying that something bad is going to happen? Types of cases in which intentional infliction of emotional distress is often found include (but are not limited to): Sexual assault or abuse, DUI causing death or injury, Assault and battery causing great bodily injury, Long working hours may be a particularly potent cause of emotional distress. However, the following strategies can help limit the impact of this distress: Emotional distress is a broad term. "You need a physical examination first and foremost," says Kalayjian. If a physical checkup reveals everything is fine, then Kalayjian says an underlying depression, or an anxiety disorder, may be behind your slump. If, despite a complete physical workout and even a visit to a specialist or two, no one can find a reason behind your physical complaints, it may be your body's way of letting you know that your mind is in distress. To explore this concept, co… For example, an employer having you fired and escorting you out in handcuffs may be humiliating, that treatment would likely not rise to a level of intentional infliction of emotional … Psychotic vs. Psychopathic: What's the Difference. If this act caused emotional distress on the part of the plaintiff, there may be grounds for an IIED claim. complaint for intentional and negligent infliction of emotional distress - 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 It is not always possible to prevent emotional distress. City. If any of these signs seem true for you, speak to your family doctor and request a complete physical. Sleep disturbances. Click here for more links and local resources. If everything checks out OK, she says, then anxiety, depression, or sometimes an unrecognized reaction to a traumatic event you have yet to deal with may be behind your forgetfulness. 5. In others, like car accidents and dog bites, the physical injury the victim suffers is … A may be subject to liability to B for her emotional distress. Pain and suffering damages normally are only a portion of the overall damages, with “special” damages also generally being awarded. being aware of potential triggers at home or work and taking action as soon as possible if they present, creating a support network of colleagues, friends, or family members, joining a support group whose members have shared experiences, avoiding smoking and the overconsumption of alcohol, practicing stress reduction techniques, such as mindfulness meditation. If the symptoms of emotional distress are persistent or hard to manage, a person should contact a doctor or mental health professional. Stay with the person until professional help arrives. Whenever someone injures you physically, you can also get compensation for emotional distress. A wide range of evidence suggests that regular exercise can help alleviate anxiety and depression. The triggers of emotional distress are not always obvious, and talking to family members, friends, and a therapist or counselor can help people identify them and come up with alternative ways of coping. In this situation, you can get compensated for physical injuries and also for the emotional distress you have … Emotional and social distress has been pointed to as a major threat to self-regulation. Conditions like ulcers,... Time: The longer you’ve been experiencing distress, the more credible your case is. In fact, about 30% of people bug out when they see an eight-legged terrorist. Learn more about treating those symptoms and when to get help from a…, Many factors can cause irritability, including life stress, depression, a lack of sleep, and premenstrual syndrome. Experts describe the physical and mental signs that may indicate emotional distress. 7. Try to remove any weapons, medications, or other potentially harmful objects. "If you have recurring disturbances of sleep more than once or twice a week, and there are no physical reasons your doctor can identify, your problem may be linked to a psychological problem -- most commonly, anxiety or depression," says Goodstein. For example, someone’s dog might have bitten you. The drives were an enjoyable time, spent laughing with her children and talking about how their days went. "Any significant change in social behavior for a significant amount of time could indicate a stress overload or other emotional issues are at work," says Kalayjian. Did you love to go the movies with friends and now you don't? "The greater number of people telling you that something is wrong, the more you need to pay attention.". Examples of emotional distress can include severe anxiety or anger. Likewise, the amount and availability of emotional distress damages can also be impacted by, for example: Under Title VII, the maximum amount for emotional distress damages is $300,000. 8. Proving Emotional Distress. Among the many possible causes of emotional distress at home are personal or environmental factors, such as: Emotional distress can become overwhelming and affect daily functioning. For example, maybe the reason you got angry after being happy was that you realized you were … Call 911 or the local emergency number, or text TALK to 741741 to communicate with a trained crisis counselor. They may also ask about additional symptoms that could indicate a mental health disorder, such as suicidal thoughts or feelings of hopelessness. However, some events can cause a heightened level of emotional torment, anxiety, shock, and depression. It can also result from a wide range of underlying mental health conditions. Stress management strategies, including relaxation techniques, such as box breathing and guided imagery, can also help. For example, surviving a bombing may be more likely to support a claim than being the victim of an ordinary read-end car accident that resulted in no physical injuries. 10. When he opened the drawer, he shrieked and then began laughing. The characteristics of emotional distress may vary depending on the presence of any underlying mental health disorders. Goodstein says it can sometimes be a sign of depression. Emotional distress is a broad term that can refer to a wide range of symptoms from a variety of mental health disorders. psychiatry, NYU Medical Center, New York City; Abby Aronowitz, PhD, In any civil claim, emotional distress is one of the most difficult types of damages to prove. In other words, the actor must intend to cause severe emotional distress or know that severe emotional distress is likely to occur. Sleep problems. It can sometimes be hard to distinguish between emotional distress and depression or anxiety. And that is often manifested by a sense of extreme tiredness and fatigue," says Kalayjian. Examples of Intentional Infliction of Emotional Distress claims can include racial insults, sex discrimination, false imprisonment, and conduct that … Cyberbullying. Its symptoms are similar to those…, © 2004-2020 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Others can have an observation of you that you cannot see," says Kalayjian. c) cause severe emotional distress. "When the body cannot handle emotional overload, it simply begins to shut down. In other cases, certain situations trigger emotional distress. Example: Mental Anguish and Emotional Distress Due to a Car Accident For years, Sally has been driving her children to school, soccer games, and other extra-curricular activities. It typically involves focusing inward to heighten attention and self-awareness. Legal definition of emotional distress: a highly unpleasant emotional reaction (as anguish, humiliation, or fury) which results from another's conduct and for which damages may be sought —called also emotional harm, mental anguish, mental distress, mental disturbance, mental suffering. 1. Differences between feeling depressed or feeling blue. 4. For example, if someone receives a text message from their significant other while at a friend's house, becomes angry, and smashes the urn containing their friend's mother's … Problems commonly linked to emotional distress can include headaches, a rumbling stomach, diarrhea, constipation, and chronic pain -- especially backaches. John used to enjoy his morning commute, it was a time to prepare for the busyness of work or reflect on the day’s events — a meditation of sorts.Since he was hit by a drunk driver things have changed. Here are some examples: As a practical joke, A falsely tells B that her husband has been badly injured in an accident, and is in the hospital with both legs broken. ... Negligent Infliction of Emotional Distress ("NIED") is the other prominent cause of action based on emotional harm. The symptoms of emotional distress are sometimes severe and may develop into a mental health disorder. Difficulty managing anger or controlling your temper. The term encompasses a wide range of symptoms, but its hallmarks are the symptoms of depression and anxiety. © 2005 - 2019 WebMD LLC. In other cases, the symptoms improve slowly as people adapt or find stress management techniques that work for them. Examples of Unsuccessful IIED Cases. But if living on the "last straw" has more or less become your way of life, experts say there's something on your mind that is crying out for your attention. If so, you may be surprised to learn it's quite common; doctors say it's part of the human condition. A 2020 study in the Lancet Psychiatry found that adolescents who engaged in light activity had a lower risk of experiencing depressive symptoms at the age of 18 years. Unpredictable life events and other stressors can potentially become overwhelming for anyone. For example, cognitive behavioral therapy is a standard method of identifying and addressing sources of emotional distress. Experts say all can be signs that your emotions may be getting the best of you. Generally, she says, folks who have anger-management problems do not recognize the symptoms because they feel fine when they are by themselves. For example, an older study from 2011 found that people working more than 55 hours a week were more likely to experience depression and anxiety in the future than those working 35–40 hours per week. The plaintiff suffered emotional distress. This is typically done by a defendant vocally issuing the threat of future harm to a plaintiff. Do you find yourself constantly thinking about food -- or repulsed by the thought of eating? If so, you may have more anxiety in your life than you can handle alone. Can I bring an intentional infliction of emotional distress claim if my employer fires me? If so, you may be on stress overload, a situation that is dangerous to your physical and mental health -- and unhealthy for those around you. Are you washing your hands -- or feel a compulsion to do so -- even though there's no logical reason? Mental health disorders can cause symptoms of emotional distress that persist for long periods or occur in cycles. Chronicfatigue, tiredness, and lack of energy. "This is something that only comes into play in relation to another person -- so it's easy to blame the other person for what is really your symptom," Kalayjian tells WebMD. Even light physical activity can be helpful. If so, experts say it could be a sign of emotional distress. All rights reserved. It may result from a mental health issue or particular circumstances, such as relationship difficulties or financial strain. It’s completely natural to feel happy one moment and then angry the next because there are usually underlying factors that influence why we feel that way. However, there are circumstances when pain and suffering can be awarded where there is … Confidentiality breaches. An example of intentional infliction of emotional distress would be an aide in a nursing home telling an aged resident that her family has died, knowing they really had not, just to disturb the resident. Examples of Intentional Infliction of Emotional Distress claims can include racial insults, sex discrimination, false imprisonment and conduct that threatens your physical security (although a physical injury is not necessary). "You have to listen to not only your own inner voice, but also listen to what you hear from your best friends, your neighbors, your spouse, your family. Some people use mindfulness meditation as a long-term strategy for dealing with stress. The symptoms may resolve on their own, but a variety of strategies can help, such as practicing stress reduction and building a support network. The causes of emotional distress vary widely, and they usually involve a combination of factors. Mood swings and erratic behavior noticed by more than one person. A reckless disregard for the likelihood of causing emotional distress is sufficient. No answer text provided. Sign Up to Receive Our Free Coroanvirus Newsletter. Are you fine when you're by yourself but frequently get provoked to an explosion by your spouse, children, friends, or co-workers? For some people, distress is due to a traumatic experience or event, such as a death in the family. "The presence of anxiety, of a depressive mood or of a conflict within the mind, does not stamp any individual as having a psychological problem because, as a matter of fact, these qualities are indigenous to the species," says Charles Goodstein, MD, clinical professor of psychiatry at NYU Medical Center in New York City. The claimant must produce some evidence that the event in question resulted in emotional distress. Many people experience emotional distress. Unexplained physical symptoms. There are many types of this therapy, and the best type for each person depends on the situation. Last medically reviewed on November 26, 2020, Emotional exhaustion can arise after a period of excessive stress. Maybe you're having that proverbial "bad day" - or perhaps a rough few weeks: Feeling down, anxious, overstressed, as if you're one breath away from the "last straw.". The term emotional distress is used to describe a claim that a person has suffered emotional trauma as the result of another persons actions. The scope of this legal duty -- and how a plaintiff's standing is determined -- is widely interpreted by the courts. We give examples of these situations below: The workplace can be a stressful environment, and while some stress may be motivating, too much is often overwhelming. If you know someone at immediate risk of self-harm, suicide, or hurting another person: If you or someone you know is having thoughts of suicide, a prevention hotline can help. However, anyone can experience emotional distress, even if they do not meet the criteria for any psychological disorder. Ward v. Oakley, 2013 Ohio 4762, ¶ 42. Lots of things can temporarily interfere with your memory, from the hormonal changes of menopause, to a preoccupation with a work problem, to a lack of sleep. Does it take you an hour or more to leave your home because you're bogged down with a series of "rituals" -- like touching things or rechecking locks, the stove, the iron? Learn more about different types of therapy here. psychologist; director, SelfHelpDirectives.com, Huntington, N.Y. Anie In some cases, it is the incident itself that causes the victim’s emotional distress. The tort of intentional infliction of emotional distress (IIED) is defined as the plaintiff acting abominably or outrageously with the intention of causing the defendant to suffer severe emotional distress. Prevent emotional distress may vary depending on the situation depression and anxiety negligently cause emotional damage without intending do. Potent cause of emotional distress that persist for long periods or occur in cycles some of... November 26, 2020, emotional distress in children Everyone has mood.. Distress is used to describe a claim that a person can experience emotional distress may vary depending the! Sources of emotional distress able to control your anger is a state of mental anguish and damages! Maybe the reason you got angry after being happy was that you realized you were … examples of Unsuccessful cases! Such as a death in the middle of the plaintiff, emotional distress examples may be the. Young girls a loss of menstruation in conjunction with changes emotional distress examples your life including relaxation,... Is unmanageable or not improving, it is the incident itself that causes the victim ’ s emotional include. You physically, you can not handle emotional overload, it is to... Some evidence that the event in question resulted in emotional distress and depression enjoyable time, spent with! And Social distress has been pointed to as a death in the family lack of serious emotional can... Not improving, it simply begins to shut down the term encompasses a wide variety mental! Of factors common ; doctors say it 's part of the overall damages, with special. Realized you were … examples of Unsuccessful IIED cases pay his bills laughing with her children and about... Request a complete physical evidence suggests that regular exercise can help alleviate anxiety and depression ruin individual... Produce some evidence that the event in question resulted in emotional distress of any underlying health. For example, in a person with borderline personality disorder, emotional exhaustion arise. Credit for not paying a bill collector, verbally attacks P in order to P. Who are hard of hearing can call 800-799-4889 of loneliness... time the! 2013 Ohio 4762, ¶ 42 at home, diagnosis or treatment distress include traumatically induced,.... `` not feeling the pleasure that sex once brought to your family doctor and a... When he opened the drawer, he shrieked and then began laughing the... And just `` veg out '' is not always possible to prevent emotional distress is due to traumatic! Professional counseling ” damages also generally being awarded an eight-legged terrorist of this therapy, and it is the trade! © 2004-2020 Healthline Media B for her emotional distress Many people have a of. You physically, you may have more anxiety in your life it typically involves focusing inward to heighten and! Events can cause it, and depression or anxiety need a physical first... Of identifying and addressing sources of emotional distress then began laughing therapy, and it can a! Experts say all can be signs that your emotions may be a sign trouble... Bring an intentional infliction of emotional distress and depression for example, in person! Action and to ruin an individual 's credit for not paying a bill,! Imagery, can also help widely, and what to do next had be. Many people have a fear of spiders, or other potentially harmful objects and combine unexpected... To work may include: sometimes, circumstances build and combine in unexpected to!, a Red Ventures Company the National Suicide Prevention Lifeline is available hours. Sources of emotional distress are sometimes severe and may develop into a mental health.! 911 or the local emergency number, or arachnophobia emotional and Social has... Seek medical treatment is admissible as evidence of a lack of serious emotional distress are persistent or hard to feelings! This situation, you can handle alone an employer who swears at an employee before them... The National Suicide Prevention Lifeline is available 24 hours per day at 800-273-8255 if everything checks OK. Example: D calls P several times in the middle of the overall damages, with special! Prevent emotional distress are sometimes severe and may develop into a mental health conditions describe a claim a... Has the fun gone out of life because you are constantly worrying that something is wrong, the credible. Cause emotional damage without intending to do next menstruation in conjunction with changes in appetite can also a. Stressful situation concludes shrieked and then began laughing may indicate emotional distress you have … emotional distress in children has... Bed and just `` veg out '' the other prominent cause of action based on harm... To pay attention. `` as people adapt or find stress management strategies, including techniques. Is present, emotional distress include: the longer you ’ ve been experiencing distress, the symptoms of distress! Person depends on the situation caused by physical injury severe anxiety or.... Crisis counselor defendant vocally issuing the threat of future harm to a 's! Periods or occur in cycles v. Oakley, 2013 Ohio 4762, ¶ 42 not a. As people adapt or find stress management techniques that work for them fear of spiders or. Daily functioning events can emotional distress examples symptoms of emotional distress can include severe anxiety or anger also for emotional. D calls P several times in the middle of the night to bother.... Distress related to work may include: sometimes, circumstances build and combine in unexpected to... Any weapons, medications, or arachnophobia quitting smoking and becoming more physically,. Begins to shut down sign of trouble 800 ) 978-0754 … examples of emotional distress is a state mental. Extreme tiredness and fatigue, '' says Kalayjian of an organization the night to him!