Indeed, most of the subjects experienced periods of severe emotional distress and depression. Psychological distress or dysphoria may occur. Correct diagnosis can depend on specialized questioning and correlation with emotional distress or social dysfunction. The highest good is pleasure, defined as the absence of physical pain and emotional distress. Katastematic pleasure is pleasure which comes about from the absence of pain or distress. The letter caused him much distress and remorse. She suffered from shortness of breath, fatigue, cough, distress, necrophobia and insomnia. They found that the feelings the students had of being fraudulent resulted in psychological distress. Withdrawal can cause mild to clinically significant distress or impairment in daily functioning. This caused Elisabeth much distress and worry. Empathic anger is an emotion, a form of empathic distress. Falwell sued Flynt, alleging libel and intentional infliction of emotional distress. He also seems oblivious to the intense physical and psychological distress endured by Eva pilots. She requested $25,000 in damages for property damage, personal injury, and emotional distress. He called negative stress "distress" and positive stress "eustress".