Social withdrawal, feelings of hopelessness, excessive guilt, and significant changes in personal care or sleeping patterns are signs of severe emotional distress. Other indicators include increased substance use, recent suicide attempts, and abnormal behaviors like giving away prized possessions, suggesting a need for immediate mental health support. Social withdrawal, feelings of hopelessness, excessive guilt, and significant changes in personal care or sleeping patterns are signs of severe emotional distress. Other indicators include increased substance use, recent suicide attempts, and abnormal behaviors like giving away prized possessions, suggesting a need for immediate mental health support. Health and Fitness, Health Tips, Exercises & Workout Tips, Diet & Wellness | Times of India Lifestyle