Which most likely indicates the need to seek professional help? feeling good even in difficult times feeling some anxiety occasionally never using alcohol or drugs in order to feel better having distress that seems out of proportion to one's problems

having distress that seems out of proportion to one's problems

Explanation:

A professional psychologists is a medical professional who can direct the activities towards the task of helping the individual, organizations and groups in handling behavior and mental disorders.  

The psychological help is required by people who are incapable of tolerating mental stress and are unable to overcome the problems in daily life difficult situations.The distress may exert a profound effect on the proportion of the problem. Thus person may feel suppressed and helpless.

there are men and women, some choose to be both or change their gender. often times those people go by "other". those who change their gender are known as "transgender"