Formal:
* Kaguluhan sa emosyon - This is a literal translation that emphasizes the emotional turmoil.
* Pangkaisipang paghihirap - This translates to "mental suffering" and emphasizes the psychological aspect of the distress.
Informal:
* Matinding kalungkutan - This means "intense sadness" and is a good choice when describing a state of deep emotional pain.
* Pagkabalisa - This translates to "anxiety" and is a good option when describing a state of worry and unease.
* Pagka-stress - This means "stress" and is used to describe a state of overwhelming pressure.
Other options:
* Pagdurusa sa emosyon - This literally means "suffering in emotions" and conveys a sense of pain and hardship.
* Pakiramdam ng pagkabalisa - This translates to "feeling of anxiety" and describes the subjective experience of emotional distress.
The best Tagalog translation will depend on the specific situation and the level of formality you need to maintain.