Communicating the feelings, emotions and thoughts arising from or associated with mental illnesses is difficult (understatement).
Communicating over the Net without the benefit of face-to-face body language and other non-verbals is problematic (understatement).
Combining the "difficult" with the "problematic" creates enormous potential for miscommunication.
Wise words, Fuzzybear.
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My dog

mastered the "fetch" command. He would communicate he wanted something, and I would fetch it.