How are you?

When I ask someone how they're doing, I really want to know. It's typical of American culutre to expect someone to reply "I'm well, thanks. How are you?" Which is fine, if they're doing well. But please, if I ask you how you're doing, I'd really appreciate a genuine, candid answer. It's sad to think how much people can bottle things up. They're better at disguising it than you'd think.