Which of the following is an indicator of significant emotional distress?

Severe mental anguish that may require counseling is recognized as a significant indicator of emotional distress. This level of distress suggests that an individual is experiencing intense emotional pain or struggle that may interfere with their daily functioning and well-being. At this stage, the distress can impact various aspects of life, such as relationships, academic performance, and overall mental health.

In contrast, mild stress from work, temporary anxiety during exams, and a brief feeling of sadness indicate more manageable or transient emotional experiences. These may be common reactions to life's challenges and do not typically signal the same level of urgency or need for professional intervention that severe mental anguish does. Thus, identifying severe mental anguish as an indicator of significant emotional distress informs the need for support and resources.