Eleanor is so ashamed of her loneliness that she even tries to convince herself that she’s “FINE.” Just as the former coworker only discussed her sister’s illness “in the most oblique terms,” so, too, does Eleanor discuss her childhood trauma vaguely and incompletely. By comparing physical illness to loneliness, Eleanor draws attention to how problematic it is to blame people for their mental health struggles: just as people shouldn’t be blamed for their physical ailments, they also shouldn’t be blamed for their mental suffering.