you can be so lonely (or sad etc) that it's painful. the literal same thing as physical pain!

yeah they're definitely the same thing, when I was Going Through It (TM) I took acetaminophen every few hours and it helped. big part of why painkillers get abused is for emotional pain.

you can't tell people "i'm in pain." it sounds like someone "just wants attention"

having people in your life that you can talk about shit with is like the most important thing. and like it can't just be one person. like yeah you can't just tell anyone that you're pain but you need people you really can do that with