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Yo Grim! I think it depends on the context. "How are you?" is often another way of saying hello, particluarly from people you've only just met or don't know you very well. But people who know you more closely are likely to be more genuine in their request, and seeking more detail. "Are you ok?" is a phrase which means little to women but is THE window to emotional expression amongst men. Why? Because it hints at concern and the possibility that things may not be ok, without actually saying as much. It leaves the window open for a conversation which can be as deep or superficial as the subject decides.
If, as a girl, a man ever says to you, "Are you ok?" or "Are you all right?", this is not a superficial question. It means he cares, in some way, and is trying to ask a question about your welfare without implying any weakness or fault on your part. if you want to discuss anything, there is your chance.
My boyfriend said "How are you" was basically a way of saying "hello" as well, and I'm sure he would agree about the "are you okay", but it doesn't mean it won't bother me, lol, as I feel there should be an answer or he's expecting an answer. It feels odd if he is showing concern about my behavior if it is simply because I am zoning out.
My only question, since that does make sense for the most part even if I cannot fully understand it because I usually don't ask those things, is why is it that when you say "nothing" because there literally is nothing at all wrong, why do people doubt it so much? Is it simply because so many say it to avoid talking about things? Or is it that the response sounds too generic when somebody inquires because they expect that something is wrong?
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Sorry for the long post...
I'm my own guinea pig.