In a manner that is extremely anxious, troubled, or mentally confused.
Adverbial form of 'distraughted,' created by adding '-ly' (from Old English 'lice,' meaning like or in the manner of). The base word 'distraught' itself is archaic/variant, making this a double-derivative form.
This is an adverb built on an already questionable adjective ('distraughted'), creating what might be the most layered folk-etymological word imaginable—it's like watching linguistic evolution in real time.
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