I'm not sure if you saw the BBC news app earlier, but Elmo, the Muppet, innocently asked people how they were on X, (formerly Twitter) on Monday morning, and thousands replied, sharing their despair.
Even US President Joe Biden replied that 'Our friend Elmo is right: we have to be there for each other'.
'How are you?' It's a question we ask, or are asked, by friends and family regularly, in an ideal world; sometimes though, no one asks and we can feel very alone, unheard and vulnerable in the world.
It's difficult asking for help or being honest when someone asks how we are. We think that our friends or family have enough on their plates, we don't want to worry them or are embarrassed to tell them how we honestly feel.
Speaking to a professional is always the best option though. A Counsellor is trained to support you to navigate your issues in a safe, non-judgemental and confidential manner.
When a Counsellor asks 'How are you?' we really do want you to tell us because that's when you can begin to make the changes that you want to make.
PS Elmo, nothing that a client brings to their sessions or any of their personal information is ever shared on social media!! But, well done you Muppet for asking the question.