苦しい

What does 苦しい mean in English?

1. painful; difficult; tough; hard(adj-i)
2. distressing; (psychologically) difficult; stressful; awkward (e.g. position)(adj-i)
3. straitened (circumstances); tight (financial situation); needy; struggling(adj-i)
4. strained (interpretation, explanation, etc.); lame (e.g. excuse); forced (e.g. smile); far-fetched(adj-i)
5. hard to do; unpleasant(suf, adj-i)