Your writing is a valuable community service since it is articulate and insightful; you should be broadly published. Consistently, I believe in the natural science advocacy of our natural motivation to seek well-being (social affirmation and support) and that people generally seek “status” to promote well-being when the community is stingy with its affirmation and support. What confuses me about your article is the apparent, standard disconnect between distressful experiences and stress. I understood you to describe brutal, distressful experiences as stressors and that the “potential impact of stressors like these on mental well being is shocking.” I am confused by your shock and our cultural belief that distressful experiences are not the sole cause of anxiety and stress. I believe that “mental health” is an oxymoron that effectively pathologizes natural emotional suffering from distressful experiences (social, economic and/or spiritual distress). By defining “mental health” as emotional well-being, psychiatry implies that emotional suffering is a sickness (regardless of predominately distressful experiences). While this is illogical, it is a common perspective on emotional suffering. Thus if you tell someone that you are considering killing yourself, they do not hear the obvious (that you are suffering emotionally); instead, they hear that you have a disease that worries them. They are afraid that your disease will kill you, that you lack insight about your need for professional help, and that they do not want to mistakenly appear to have any valuable expertice into your disease. I believe that we all seek well-being (affirmation and social support) and that we all feel some degree of stress from cultural values. But I also believe that status anxiety is generally significantly greater for those without status and that there is substantial injustice around that issue.