Your name of Piah gives you independence and determination. Nothing intimidates you once you make up your mind. You recognize your difficulty in expressing emotional sentiments and compliments that mean so much to sensitive people. Lavish affection tends to embarrass you, yet often you desire to be natural, and to seek affection and understanding from those closest to you. Unfortunately, it is a challenge for you to express tenderness to others. You express yourself in as few words as possible and often choose silence rather than idle chatter. You experience peace in nature and, through observing nature, can acknowledge the harmony and the harshness of life that applies to nature’s laws of instinct and survival. Your name often makes you feel separate and alone. Living much within your own thoughts and finding it challenging to communicate easily with others, you are, at times, too candid and honest in your assessment of situations. The restrictions of this name cause you to suffer with either headaches, weak eyes, sinus problems, asthma, or heart conditions.