People who have extreme difficulty in making ends meet may see credit as their only way out.

There have been many times in history when Christianity has faced extreme difficulty.

With extreme difficulty we scrambled forward over the rocks and around them.

Despite the extreme difficulties, they refuse to surrender for the easy way out.

Social services often know families in extreme financial difficulty.

The extreme difficulty in getting information suggests some state secret.

The great white fish makes its way into the canal system with extreme difficulty.

This spring, new women graduates had extreme difficulties finding jobs.

They could advance only with extreme difficulty, and did not expect to be able to communicate again for a long time.

Both the 19th and 44th trained under extreme difficulties between the wars.