Pitiful poor means that more than emotions are down. Sickly goes with pitiful poor. I'm just 'not at myself' is an expression that may have to do with physical as well as emotional well being. There is help for all these conditions. And we go someplace and find someone to eat with us if we can.
Misery loves company.
I went way over to Jack County today to see my friend. She lives out around Dark Corners. We have known each other since we were children. Then she told me why she was blue. We got things off our chests and into our stomachs.