It's a because stress doesn't let the brain relax like trying to sleep.
Hope this is helpful.
1st blank is integrity because dependability means you can be relied on while responsibility is owning up to your actions.
2nd blank is leadership because communication skills is how to talk to people regularly, not give out directions while optimism is incorrect.
It's a pretty common symbol, mostly in the U.S. How ever it is two snakes with a set of wings, this stands for medicine instead of the correct rod of asclepius. I hope in some way this helps.
Family environment, ability or disability, the attitude of peers, social media, and cultural background
