Variants:
Made this rough draft on my phone after finding out the state of New Hampshire has a proposal to add the state motto to the flag (a seal on bedsheet) in Times New Roman font to try and make it unique.
Symbolism: It is a depiction of an ice axe (or mountaineering axe) at the summit of a mountain. NH is home to the White Mountains, including the highest peaks in New England. It symbolizes rugged determination in the face of adversity.
A couple more variants on your theme:
For those who enjoy swimming in cold water.
It's fine, nothing to be ashamed of and there are treatments available.