If the look In the Top lefts corner you can see, The mental gauge, And the ZOMFG Status effect

Pain: Pain Is the form Of damage Coming From a guest Stabbing,Scaring,Shooting,Taunting,Scarring,Cutting you And is the Most Damaging form of damage, These events Are usually In TP or SP, And A couple FP, These Events are called Horror shows, The game says this horror show Implies you going insane And eventually put out youre misery.