People who say … they're perfectly fine [are] more insane than the rest of us.

Ruby Wax’s remark plays on the social pressure to present oneself as “fine” and emotionally self-sufficient. By calling those who insist they are perfectly fine “more insane,” she uses comic exaggeration to invert the usual stigma: the problem is not having struggles, but denying them. The line suggests that mental distress is common and human, while rigid self-presentation can be a form of avoidance that prevents help-seeking and honest connection. It also critiques a culture of compulsory positivity, implying that acknowledging vulnerability is healthier than performing invulnerability.