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Case studies

Seven versions of “I’m good.”

Recognition comes before instruction. These scenarios show the patterns described in the Field Guide playing out in ordinary lives — what was really going on, what everyone missed, and what actually moved things.

About these case studies: each one is an illustrative composite built from the patterns documented in the Field Guide and the research it cites. They are not real individuals, and any resemblance to a specific person is coincidental. Real stories shared with I’M GOOD are only ever published with the person’s explicit written consent — share yours here.
Still functioning

The ten minutes in the driveway

A regional operations manager, early 40s, two kids, well regarded at work.

What people saw
Reliable. Busy. A little shorter with everyone lately. Always “slammed.”
What was behind “I’m good”
Two years of running at full capacity. Hobbies, friends and exercise quietly cut to protect work and the kids. Sunday dread creeping into Saturday. Ten minutes alone in the truck every evening before going inside — the only part of the day he wasn’t being someone for someone.
The turning point
A two-week holiday didn’t lift it. That was the tell: this wasn’t just the job. He booked a GP appointment using one sentence — “I’ve been feeling off for months and I’d like to rule out anything physical.” Bloods, a screen, a referral for structured therapy.
From the Field Guide
“Functioning is not a treatment. It is a cost.” Chapter 11 →
Anger · Depression

The foreman with the short fuse

A construction foreman, late 40s, twenty years in the trade.

What people saw
Snapping at the crew and at home over nothing. His family thought he’d stopped caring. His crew thought he’d become difficult.
What was behind “I’m good”
A business partner walked away, money got tight, and he felt like he was failing at the one job he understood himself to have. No sadness he could name — just exhaustion, bad sleep, and one more beer every night. Anger was the only exit left unlocked.
The turning point
His teenage son flinched when he raised his voice. That was the line. He started asking himself “what is this actually about?” and walking round the block instead of shouting. Then he told his doctor the real number of drinks. Treating the depression underneath is what made the anger techniques start working.
From the Field Guide
“Anger management techniques applied to an untreated depression are a bucket under a leaking roof.” Chapter 9 →
Anxiety · Panic

The heart attack that wasn’t

A sales rep, mid 30s, recently promoted.

What people saw
A guy who’d had a scare, been told his heart was fine, and seemed to be over it.
What was behind “I’m good”
Chest pain, pounding heart, the certainty he was dying — at a red light. The ER was the right call. But he was discharged with no explanation, and privately convinced the doctors had missed something. He started avoiding highways, then meetings, then anything that might trigger it.
The turning point
A follow-up with his GP where someone finally named it: a panic attack — frightening, not dangerous, and highly treatable. A short course of CBT for panic gave him a mechanism instead of a mystery.
From the Field Guide
“The delay is almost never about the treatment failing. It is about the years between the first symptom and the first appointment.” Chapter 7 →
Conversation · Friendship

The friend who asked twice

Two friends since high school, now in their 40s, living a mile apart.

What people saw
One of them had stopped coming to the Thursday game. Declined three invitations. “Just busy.”
What was behind “I’m good”
A divorce he hadn’t told anyone about, and a support system that had been routed entirely through his marriage — a single point of failure.
The turning point
His friend stopped saying “we should catch up” and said “Coffee Saturday, 9?” At the diner he asked “how are you really doing?” — got “good” — and asked again: “Good good, or just good?” Then he waited out the silence. The second answer was the true one.
From the Field Guide
“Six declined invitations followed by one accepted is a complete success.” Chapter 27 →
Fathers & sons

The sentence that broke the chain

A father in his 40s and his 16-year-old son.

What people saw
A teenager going quiet, dropping things he used to love, sleeping badly. It looked a lot like adolescence — which is exactly why it gets missed.
What was behind “I’m good”
A boy who had never once seen his father struggle, and had correctly concluded that struggling is not something the men in his family do.
The turning point
Working on the car together — side by side, not face to face — the father went first: “I had something like that at your age. It was horrible. And I talk to someone about this stuff now. It helps.” The son didn’t say much that day. Two weeks later, he did.
From the Field Guide
“‘I talk to someone about this stuff. It helps.’ may be the most valuable sentence a father can say.” Chapter 28 →
Tried before

“I tried therapy once. It was useless.”

A veteran, early 50s.

What people saw
A man who had “done the therapy thing” in 2017 and filed the whole category under “not for me.”
What was behind “I’m good”
Nightmares, sitting facing the door, drinking to sleep — and one bad experience with open-ended talk therapy aimed at the wrong target while untreated trauma sat underneath.
The turning point
Treating his last attempt as data rather than a verdict. He called the Veterans Crisis Line (988, press 1) just to ask what he qualified for — it was more than he assumed — then asked a new clinician directly for a trauma-focused approach, set a review point at eight sessions, and joined a peer group of men in the same boots.
From the Field Guide
“‘It didn’t work’ is a conclusion. ‘What specifically did I try, for how long, with whom, aimed at what’ is a diagnosis.” Chapter 21 →
At work

The supervisor who changed something

A warehouse shift supervisor and one of his most reliable team members.

What people saw
A previously dependable worker missing shifts, withdrawn, visibly exhausted.
What was behind “I’m good”
A parent’s death, a second job to cover debts, and a fear that admitting it would cost him his position.
The turning point
His supervisor raised it privately: “You’ve seemed under it the last few weeks. I’m not asking as your manager — are you alright?” Then he did the part most managers skip: gave him the EAP phone number out loud, moved the shift pattern, and approved leave. Concern followed by a concrete change.
From the Field Guide
“An expression of concern followed by no change in workload teaches him that speaking up produces sympathy and nothing else.” Chapter 29 →
Behind “I’m Good”

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