Fear Anxiety, Agony, Very Shy, Scared- obssessive? Self Inflicted fear Anxiety, Agony, ...etc...some tremendous mental energy thinking or turning. It certainly has more to do with themselves than with you. I get this card when one has thoughts about someone or something that either keep them up at night, or when it is "the last thing one think about at night and the first thing one thinks of when they awake".
Swords are noisy. This is overkill from the Nine of swords, anger, agony and anxiety turned in at oneself.