The emotional pain and anxiety caused by self esteem issues can be as as real as a slap in the face with a wet fish just as the pain for an amputee can be real, our mind can cause real suffering when it is convinced even in a capable human mind living one time forward lifetime. The emotional pain of events in life are made extreme when we conflate our self conception with an abstracted state of affairs which cannot survive the passing of time in life often the realization that we have been fundementally wrong about what we cared about is evedenced by the passing of our concern

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Sometimes it can be more disturbing to find that we are in pain from a phantoms than relieve the pain of the attatchments.