Some of the opening statements I have heard (statements from hundreds, thousands, of conversations and not applicable to any one person(s).
I have terminal cancer. My husband is having an affair. My wife is having an affair. I just got laid off. I’m pregnant. I can not get out of bed. I am having panic attacks. Can’t sleep. Thinking about changing careers. Got a promotion but it means moving my family. I am gay and have never told anyone. My spouse ..child .. parent is an alcoholic. My father ... uncle ... brother .. neighbor ... family friend sexually abused me when I was a child. My child was killed and I blame myself. Tragedies mixed with triumphs. And the ever present family and workplace dramas of many varieties. These and many more stressors of life and living can lead to discouragement and fears of being out of control ... leading to the two primary psychological dysfunctions - anxiety and / or depression.
The challenges can be severe or mild. Talk therapy can help. I have seen it many times.