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Prioritising looking after yourself is particularly difficult when the constant comparison of your own needs against that of others within the affected community leaves people feeling comparatively undeserving of care or comfort.

Everyone is so impacted. They feel they shouldn't have the opportunity to be relaxed. Machiko Kamiyama – Yamagata University/Care Miyagi

There is the mentality in our volunteers that "I don't have it that bad" and they minimise their own stresses. They push them down, push down. They are constantly looking at their stuff in comparison to other people. Valerie Cole – American Red Cross