The quote reflects the internal struggle of self-perception versus how others view you. It suggests that a person experiencing mental health issues might genuinely believe they are okay, while those around them can see clearly that something is off. This disconnect can lead to feelings of isolation and confusion for the individual who is grappling with their reality.

In "The Summoning" by Kelley Armstrong, this theme is prevalent as characters face their own challenges and the perceptions of the world around them. The exploration of mental health and the concept of being out of touch with one's own state of mind is a significant aspect of the narrative, highlighting the complexities of human experience.