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A very large portion of existing Drowning High Five memes, including the example in Figure 7, apply the original scene of physical distress (drowning) to the domain of mental distress, as a way of commenting on well-meaning but ultimately useless advice around depression (represented by snippets of mental health advice being quoted, such as hang in there, or you have such a good life compared to some, just be happy)

What I am about to write here is definitely not generally known by Elton fans and possibly not something that most people would think very important

Hell, maybe you already are

Surprisingly I'll happily recommend #105: Three stars