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exhaustion female woman anxious head ache healthcare difficulties distressed doubt fatigue illness debt loan disease disappointment middle aged 40s caucasian solitude alone sadness awake dizziness chronic bankruptcy climax cry depressed depression despair dizzy menopause difficult forget melancholic frustrated grief health help feeling hopelessness unwell hurt painful lady feel lonely adult lost mature single medical hopeless mental disorder migraine divorce mind memory misery indoors negative think pensive serious people anxiety person bad problem disappointed problems upset psychology loneliness sad trouble sick