The visitor struggled to sleep for months, lost daytime function, and repeatedly said life felt meaningless. Safety came first: assess self-harm thoughts, establish emergency contacts, and arrange medical and psychological care. Under professional guidance, he fixed wake time, reduced wakeful activity in bed, tracked sleep and mood, and addressed work stress and isolation. Chart imagery was only a language for feelings; it could not attribute insomnia to heat or cold or predict recovery. Inability to stay safe requires immediate local emergency or crisis support.