Too many 4am starts, dark circles under the eyes, a delusional belief in his own publicity, coupled with a distressing personal crisis.
The cartoon is certainly shocking, using the single most distressing image of the refugee crisis – a dead child – to crack a joke.
In a distressing portrayal of the housing crisis in Tower Hamlets, one of London's most deprived boroughs, the show exposed the absurdity of trying to rent a home on a low income.
On this part of the border, the more distressing numbers reveal a mounting human crisis.
And for Ms. Gym, as for many parents, the most distressing aspect was that the current crisis, even if it can be resolved, is most likely just a foreshadowing of what is to come.
"A mental health crisis can already be distressing for individuals and all those involved, but when people aren't getting the right support or care it can have very serious consequences," said Clegg.
One of the most distressing elements of the worldwide migrant crisis is that people who have risked all for a better life should be held to ransom by smugglers.
Across the country, two-thirds of these people were taken to hospital but a third were taken to police cells – an inappropriate, confusing and distressing environment for someone experiencing a mental health crisis.
The eight-module intervention consists of five mandatory modules (emotion education, emotion awareness, cognitive flexibility, exposure to distressing emotions, and relapse prevention) and three optional modules (motivational enhancement, crisis management, and parenting skills).
Through her own investigative efforts she drew some distressing distinctions between the private and public sectors' ability to deal with crisis in any form.
