What is a better way to ask if Someone is “Okay”?

Was in a real depressive episode and one of my friends asked me while we were hanging out, “hey, how those bastards doin? They grinding you down?”

Phrase we use often and got a chuckle out of me. Let me decompress and open up a bit. Helped. Sometimes it’s just breaking the tension. Other times it’s waiting and just starting a conversation.