Adverbs for Distressing

keenly; poignantly; genuinely; hideously; supremely; bitterly; insupportably; evidently; unutterably; intensely; seriously; Starkly; uncommonly; acutely; fundamentally; unduly; immoderately; extremely; remarkably; awfully; painfully; sorely; profoundly; deeply; appallingly; horribly; gravely; shockingly; incredibly; unspeakably; unmentionably; mentally; violently; unusually.