And now you will have to decide: are you going to open the letter and face what is “inside”? And, having done so, are you going to think your way through the problem, terrible as that might be, and begin to address it? Or are you going to ignore what you now know, pretend that everything is all right (even though you know, emotionally—as a consequence of your anxiety—that it is not), and pay the inevitable psychological and physical price?