I read an interesting article lately that postulated that a lot of pain is caused by misdirected angst, that it can be a physical manifestation of anger, fear, depression, and other negative emotions. The article said that one way to help deflect those negative thoughts is to journal about them. Meaning you sit down each day with a pen and notebook, or on a computer, and write about the negatives you are feeling. You do not try to balance it out with positives, or put a happy face on things - just let those negative feelings wash out onto the page. I've been considering it for myself; a lot of time just expressing your fears or negatives can be cathartic, and this way it would be without putting the burden of your problems on a listener.
Not that I ever mind offering a listening ear, or a helping hand, I can just see that it may be easier to honestly let things go if you don't feel the additional concern of whether your listener is put into the difficult position of listening and wondering if they should do something.