yes, that is how it works. All these things that happen are life being an omen of how we are not okay with ourselves. 46 and 47 were so brutal for me. Shockingly brutal. And it was all resolved by learning to be okay with myself and therefor allowing me to have a better relationship with myself.
the first thing that happens when a person starts to be okay with themselves is that they change some idea about how they have been behaving, some thought that has been suppressing their natural response and feelings about life is changed. At that point a bunch of feelings will start to get purged and this can take years to purge. Feelings that the mind would not even let the person experience, a lifetime of them, and they all start coming to the surface and they also impact the body as htey leave the consciousness. I felt like i was pmsing for 2 years and i had little energy and my knees and hips hurt and I couldn't walk far. I had just bought all new really high end very nice backpacking gear and was never able to use it cause I couldn't walk more than 2 miles. It was an amazing ride of purification. so its hard to judge from the outside.