I'm fine is a lie. People may say their fine. But deep down they're not. I know this for a fact because I say I am fine all the time, when I really am not. So when someone says their fine, talk to them about it. They aren't fine in any way.
Person: Hey you seem pretty down, are you okay?
Person 2: Yeah, I'm fine. *sigh*
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Someone is lying to you when they say they're okay. They're not okay. Don't fucking ignore someone if they say they're fine. Talk to them. I know this because I myself say I am fine even though I'm not in anyway.
Person 1: You seem down today, are you okay?
Person 2: *sigh* Yeah, I'm fine.