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Stories Untold
I think an essential part of mental illness is that the patient feels like nobody has been listening to him/her for a very long time, and they are stuffed full of a need to speak, to tell their story, but they perceive no listening ear to hear it. I think that's a large part of the culture, the veneer, the outside appearance of "Fine, it's all fine, I'm fine"--nobody wants to hear the pain of someone else's life, and the considerate (maybe overly so) would rather let it eat away at them than burden another person with it, even if it would give them relief.