An internal cry for help can manifest in different ways, but it usually involves a deep sense of distress or struggle that one is experiencing on the inside. It may be a feeling of overwhelming sadness, anxiety, or hopelessness that one cannot seem to shake off. It may also involve a sense of isolation, disconnection, or alienation from oneself or others.
all these people are lying, most people in Paralake are missing toes from a genetic disorder. People greet each other sometimes (especially while detained) by greeting with how many toes they have. It's actually just a social flex.