Used and loved by millions
Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com
a total distress
Grammar usage guide and real-world examplesUSAGE SUMMARY
The phrase "a total distress" is not commonly used in written English and may sound awkward.
It can be used to describe a situation or feeling of complete distress or turmoil, but it is more effective when rephrased for clarity. Example: "After hearing the news, I was in a total distress, unable to focus on anything else."
Science
Table of contents
Usage summary
Human-verified examples
Expert writing tips
Linguistic context
Ludwig's wrap-up
Alternative expressions
FAQs
Human-verified examples from authoritative sources
Exact Expressions
3 human-written examples
A Total Distress score was calculated as the sum of all three moods.
Science
The scale consists of depression, anxiety and stress subscales that can be summed to produce a total distress score.
Science
Based on a study of Follwell et al. [ 43] we determined a Total Distress score of 8 as the minimum clinically important difference for the power calculation.
Science
Human-verified similar examples from authoritative sources
Similar Expressions
57 human-written examples
In our larger sample of 179, being a torture survivor (27.4%) was significantly related to total distress, posttraumatic stress, and somatic item scores [ 8].
A medium effect size is estimated for the primary outcome measure, total distress, as measured by the DASS-21 total score between groups across the five assessment points.
Science
Reduced total Distress after the consultation was associated with living with a partner (β=−0.20; R change=0.04; P (F change)<0.01), low degree of Self-efficacy (β=0.11; R change=0.04; P (F change)<0.01), high distress prior to the consultation (β=−0.32; R change=0.08; P (F change)<0.001), and Empathy (β=−0.24; R change=0.06; P (F change)<0.01).
Science
The sum of all 10 scales makes the Total Distress score (max.100).100
Science
Change scores of total Distress, Self-efficacy, and Perceived Control were calculated as the differences between pre- and postconsultation scores.
Science
As predicted by hypothesis 2, we found significant inverse relations between changes in total distress and patient ratings of both physician Attentiveness and Empathy.
Science
This difference in depression scores accounts for the significantly higher level of total distress (HADS) at baseline, compared with immediately before MRI (t=2.60, P=0.009, CI: 0.26 1.87).
Science
Change scores of total Distress, Self-efficacy, and Perceived Control were calculated as the differences between scores prior to and after the consultation.
Science
Expert writing Tips
Best practice
When aiming for clarity and impact, consider more common and direct alternatives such as "complete distress" or "utter distress" rather than "a total distress". This will ensure your writing is both easily understood and stylistically strong.
Common error
Avoid using "total" redundantly with other intensifiers. Phrases like "absolutely total" or "completely total" can sound awkward. Choose one strong intensifier to convey the depth of distress.
Source & Trust
82%
Authority and reliability
3.5/5
Expert rating
Real-world application tested
Linguistic Context
The phrase "a total distress" functions as a noun phrase, describing a state of profound suffering. While grammatically sound, Ludwig AI suggests that it is less common and can be rephrased for clarity and impact. Examples demonstrate its use in the context of psychological and emotional suffering.
Frequent in
Science
100%
Less common in
News & Media
0%
Formal & Business
0%
Encyclopedias
0%
Ludwig's WRAP-UP
In summary, the phrase "a total distress" refers to a state of complete and overwhelming emotional or psychological suffering. While grammatically acceptable, it is not as common or stylistically strong as alternative phrases like "utter distress" or "complete anguish". Ludwig AI indicates that rephrasing may improve clarity. The phrase primarily appears in scientific and medical contexts related to psychological distress. When writing, consider stronger and more direct alternatives to enhance the impact and clarity of your message. Be mindful of redundancy with other intensifiers, and use the phrase judiciously to convey a profound sense of suffering.
More alternative expressions(6)
Phrases that express similar concepts, ordered by semantic similarity:
utter despair
Focuses on the complete loss of hope and sense of desperation.
complete anguish
Emphasizes the deep emotional pain and suffering.
absolute misery
Highlights the state of extreme unhappiness and suffering.
profound suffering
Stresses the depth and intensity of the distress.
intense torment
Conveys a sense of severe mental or physical suffering.
deep-seated anxiety
Focuses on the pervasive and underlying feeling of worry and unease.
overwhelming sorrow
Highlights the intense sadness and grief.
acute psychological pain
Emphasizes the sharp and intense mental suffering.
severe emotional trauma
Focuses on the lasting psychological damage caused by a distressing event.
extreme mental anguish
Stresses the severity of the mental suffering and emotional pain.
FAQs
How can I use "a total distress" in a sentence?
While "a total distress" can be used to describe a state of complete suffering, it's often more effective to use stronger and clearer alternatives. For example, you could say "She was in "utter despair"" or "He experienced "complete anguish"".
What can I say instead of "a total distress"?
Alternatives to "a total distress" include ""utter despair"", ""complete anguish"", or "absolute misery". The best choice depends on the specific context and the nuance you want to convey.
Which is correct, "a total distress" or "utter distress"?
Both phrases are grammatically correct, but "utter distress" is more common and generally considered more stylistically sound. "A total distress" is less frequently used and may sound slightly awkward.
Is "a total distress" the same as "emotional distress"?
While both phrases relate to suffering, "emotional distress" is a broader term referring to general emotional suffering. "A total distress" implies a state of complete and overwhelming suffering, suggesting a more intense and all-encompassing experience.
Editing plus AI, all in one place.
Stop switching between tools. Your AI writing partner for everything—polishing proposals, crafting emails, finding the right tone.
Table of contents
Usage summary
Human-verified examples
Expert writing tips
Linguistic context
Ludwig's wrap-up
Alternative expressions
FAQs
Source & Trust
82%
Authority and reliability
3.5/5
Expert rating
Real-world application tested