Real. Read this a few weeks ago and it is so very, very true. The battle may be completely internal for that person, you may not understand it from your point of reference, or it may be something you might not have the chance to know of anyway. Irregardless, everyone is struggling with some issue - no one has it easy. No matter how it may "look."
Also on these boards
The only time you should ever look back is to see how far you've come