She did not answer at once, only looked distressed.
Even so, I am sure she caught the thought, for she looked distressed.
"Of course it is," he said and began to look distressed.
He looked more distressed than I had ever seen him.
There, don't look distressed; I have had my day, and am ready to go.
Rosemary could find nothing to say, and Doris suddenly looked distressed again.
"It looks quite distressed, which some people find strange," he says.
The man's clothes were tattered, and his wife looked distressed.
She should try to look a little more distressed and vulnerable.
Also to say he looked distressed is a judgment call.