Physical. Emotional pain all you have to do is change your lifestyle, even if the pain is grieving over a loved one. I've had back problems for years and being in pain for days on end wears you down.
But what if someone did somethin to you, that you were completely horrfyfied about, and no it doesnt have to be sexual. That you are scared for life, from that one thing. No matter if you changed your life style it would still be there.