When everybody says how well you are coping but inside you are falling to pieces and don't know how to keep coping ? When the pressure is on at work to look after everybody else, to keep the house going, to support relatives who need you but you are letting down and another problem adds to the others and other and another. When it's just you taking the load and it's all piling on and there isn't another person to take any of the load and nobody to share it with even verbally. When it gets to the point where if somebody asks if you are ok then the dam will break so you just keep going and going and paper the cracks.