Man goes to doctor. Says he's depressed. Says life seems harsh and cruel.
Says he feels all alone in a threatening world where what lies ahead is vague and uncertain.
Doctor says "Treatment is simple. A great clown, Pagliacci, is in town tonight. Go and see him. That should pick you up."
Man bursts into tears.
Says "But, doctor..."
"...I am Pagliacci."
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This is sadly true all too often.