mental anguish squared

    

nine of swords + eight of swords

With this combo, we have mental anguish squared!  Someone is holding themself back because of fear, deeply doubting that things will go well.  They worry they will get hurt by a new situation or person.  They cannot stop thinking about their guilt or fear, and their repetitive thought cycle has them stuck in regret or anxiety.  They have not been sleeping well, and there is a possibility the insomnia plus stress will manifest as physical illness.