Letters written to problems, not people – by everyday champions, like you.
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A 'thank you' letter written by a 16 year-old anonymous author to her chronic condition: ITP

Dear Invisible Illnesses

Thank you for teaching me that sometimes people don’t always believe in what they can’t see, even if they pray to God every night and tell their kids Santa Claus is real. Thank you for reassuring me that it’s not all in my head, and I was right all along. Thank you for making me feel proud of myself for how far I’ve come. Thank you for teaching me to enjoy the small moments, and find beauty in everything around me. Thank you for showing me I’m never alone, because I have myself. Thank you for encouraging me to stand up to people, to advocate, and to not be scared to say the truth. To be grateful for what I have, while knowing that it’s also okay to be selfish.

I know sometimes I complain, because – yeah – it sucks. When I started writing this letter, actually, I felt frustrated and exhausted; but then I realized that you taught me things I couldn’t have learned on my own. And I wouldn’t trade that for anything… So, the lasting sentiment is this: I am thankful. Thankful to you for helping me learn that those two things can be true at the same time. Thank you for saving my life.


A Girl with Invisible Illnesses, Age 16
Idiopathic Thrombocytopenic Purpura (ITP)

A teddybear lays face-down in a bed reflecting the tone of an author's letter written to idopathic hypersomnia

Dear Idiopathic Hypersomnia,

Because of you, I have always, and will always, be Forever Tired. I have an insatiable need for sleep. People say “Oh, I’m tired, too.” but they don’t know this kind of tired.

Some people go to brunch, read books, hang with friends, play sports, have hobbies. I sleep. I’ve fallen asleep while driving, while at the circus, in countless waiting rooms, on concrete floors, in the shower. It’s embarrassing to wake up late for a 2pm meeting. It’s shameful to fall asleep in the middle of a conference room full of business executives.

A boss of mine used to say “You’ll sleep when you’re dead.” What a privilege for sleep to be optional. To be able to CHOOSE to be awake. And not just awake, but PRODUCTIVE. To do more than walk around in a sleepy haze, daydreaming about crawling into bed.

The problem is, sleep feels GREAT. It’s my drug. How do I not give into the siren call of sleepiness? Sleeping is my superpower. And my kryptonite.

How much of my life have I spent hitting snooze? I’ve missed so much. I’ve unwillingly devoted entire days to sleep because of you. The sun makes me tired. Rain makes me tired. Eating too much. Not eating enough. Car rides. Bike rides. Swimming. Everything makes me tired. Idiopathic Hypersomnia, YOU make me tired. And no one knows why you exist, how you came to be, how to control you or how to cure you. I don’t even know if I’m calling you by the right name. One doctor says Hypersomnia, the other says Narcolepsy. There’s also Non-24 Hour Sleep-Wake Syndrome and Delayed Sleep Phase Syndrome to choose from.

I’m so tired of talking about being tired. I’m so tired of being tired.

I’d even say I have a MILD case of you. I have a job and pay my mortgage. I know there are many others who aren’t so lucky. Yet there are things you’ve certainly stolen from me. The idea of having kids has always felt impossible. Would a baby be safe with me? Would I wake up in the middle of the night to feed them? Would I have enough energy to get them up for school, pack lunches, help with homework and attend soccer games?

Just when I thought I had you pegged, that I could predict what you’d do and how to work with you, being the inevitable life partners we are, you changed all the rules. Or something else did. Many hypotheses have been made. First it was Multiple Sclerosis, then adrenal fatigue, anxiety, depression, anemia, perimenopause or Celiac disease. No, it must be latent trauma, or a vitamin deficiency. Or maybe it’s just YOU, Hypersomnia. Presenting differently today than you did yesterday.

I aspire to be SO MUCH MORE than what I’m capable of being because of you. I’ve had to live small while dreaming big. I mourn all the time I’ve lost to sleep and can only hope tomorrow will be different somehow.

Female, 43
Idiopathic Hypersomnia, Generalized Anxiety Disorder

A hand removes a single red puzzle piece from an assortment, which reflects the tone of the corresponding letter written for the Dear Diagnosis project.

Dear Parts of Me That I Wish Weren’t There Sometimes

You’re hurting me right now. Please stop. I don’t want to shrivel into a ball of pain and tears all the time, especially not now. I have clients to work with, people who need support. I also need support. I have a new relationship to tend to, to learn about and grow with. I don’t want to be paralyzed by my fears. I know you help me sometimes and give me sensitivity and wisdom that I wouldn’t otherwise have access to. But right now, you are hurting me. I don’t like feeling this intensely worried, sad, and hopeless. I would like a break from these unpleasant feelings. How can we work together to ensure my wellbeing? Thanks for your help. Let’s stay in touch to support all of me as best we can. ​

Female, 33
C-PTSD; Anxiety; AD/HD, Autism Spectrum Disorder (ASD), Neurodivergence; Crohn’s; HSP; Grief


To love you, or love you not? That is the question…

An eviction notice posted to a wooden door selected to accompany a letter written to a painful condition at

Dear Diagnosis (AKA One of my Shitty Roommates)

I was glad to finally meet you face-to-face, after ailing me for so long. The story started about 10 years before I even knew your name and while out on my adventure to find you – during which I managed to pick-up some other annoying housemates along the way. You are not a very tolerable roommate, which I do not appreciate. You embarrass me. You depress me. You raise my anxiety. You are debilitatingly painful. In an effort to evict you, I had a few procedures. Thereafter, your name stayed but your essence was gone (hooray!) Until now, when you birthed your way back (are you fucking kidding me??) Just when my life was pain free, you moved back in without my consent!

Well, I’ve got another eviction notice coming your way: This is temporary housing. Your name may be on the lease in MY body that we share, but I don’t have to tolerate your obnoxious ways nor will I acknowledge you once you’re gone. I will see the doctor Friday in hopes of scheduling another eviction. You may never be gone permanently – damn these tenant ‘rights’ – but I will not allow your shenanigans to hurt our household, as I have in the past.

Ouch Ouch Go Away,

Female, Age 40
Pudendal Neuralgia, Endometriosis

shoes dangling from a telephone line as is suggestive of a drug sale

Dear Diagnostic Labels

To all the diagnostic labels that have tormented me for as long as I can remember: You are not welcome in my life. From a child you lied to me saying I was broken and cant do the things I want. You tried very hard to prevent me from studying and just want me to die. I don’t like your plan for my life and you need to leave me alone. Stop trying to recruit friends like Drugs and Low Self-Worth to trick me. I am sick of you and all your rubbish.  My life is precious and lots of people really love me. You try to destroy my relationships and everything around me. I am finishing a Masters degree and have shown you that you are not welcome. It is time to go! Enough is enough you put me in prison and made me homeless. You truly are a horrible piece of work! There is nothing you can do to stop me from living a good life now. I will continue to study and use all that I know about you to help others.

Your worst enemy,

Male, Age 33
CPTSD, D.I.D., AD/HD, Borderline Personality Disorder w Antisocial Traits

Shattered glass representative of the shattered bones this teen author writes about

Dear Perfectionism

I spin, twirl, shake, leap. You’re still there as I watch others. You’re in my mind as I create. You’re telling me I’m bad – I’m going to fall. I try to ignore you. I try, I try, I try but, I can’t multitask! As I forget what’s going on, you come back stronger.“You’re going to fall, you’re going to fall,” you say. I continue to try and ignore you. You’re going to fall, you’re going to – BAAM. There, Perfectionism, you got your way. I’ve fallen and broken my arm, again. Just like before. And now, I can’t play.

Female, 14 years young
AD/HD, OCD, Panic Disorder… Perfectionistic-Thinking

Blinds symbolic of what it feels like to be labeled by a diagnostician.


I never got to thank the person who introduced us. It’s someone on twitter, and I’ve been too shy to tell them. Also because it happened years ago, and if I tell them now it’ll look like I’ve had this gratitude for them kept hidden for so long – it’s almost stalkerish and… WAIT.

This is not central to what I wanted to tell you. I think. 

Because I am not sure what I wanted to tell you. I saw this post on Facebook about writing a letter to ADHD and I thought it sounded great, since, I mean, I’m a writer and I have ADHD and I also happen to study creative writing as a learning and therapeutic tool so that’s, like, right in my corner!

Also it’s 3:45 pm and I’ve basically only had breakfast and sent out 4 emails today, and I can’t seem to be able to start on any meaningful task so maybe doing this can save the day?

Anyway that is to say I haven’t really taken the time to think about what it was I would tell you about in a letter.

It’s funny we’ve been formally introduced so late in life. You knew my brother first, over 20 years ago, when he was 7 and I was 9. We came really close to meeting back then – at least physically – I was just out there in the waiting room at his psychiatrist’s office. What if we’d been introduced then?

It wasn’t easy for my brother. Not since, like, school began. He’s doing great now – so great! Not in a classical way, don’t get me wrong. He’s not rich, nor does he have a fancy job. But he’s grown into a resilient, reflective, creative, curious and – frankly – extremely hard-working human. If more people were like him, or more accurately, if more white cisgender, straight dudes of the western world were like him, this world would be a lot better. 

It hasn’t been easy for me either, mind you. I was good at school, yes. I would say I was a little too good at school. Kind of like it was the one thing I had going for me. Which it was. Because I was an awkward and anxious kid with existential questions and no one to help me out with that.

I mean I knew I was an awkward, anxious kid with existential dissatisfaction back then. But I didn’t realize that there might be someone to help me out with that – I also didn’t know it was an option. I also didn’t know a couple of other important things – I didn’t know I was queer, nor did I know that I was neurodivergent. I didn’t know you personally, yet : ADHD.

So, when things kept getting harder for me, I blamed the one thing all of these things had in common. I blamed me, and I tried to fix the problem : Me. I tried very, very hard to fix : Me. And how does a teenage AFAB person fix her*self , you think? Well, yes of course : Dieting. Dieting harshly. Dieting to counteract my use of food as a source of dopamine (something I know now but didn’t know then). Dieting to look more like the girl I was sure I wasn’t good at being. Dieting to prove to myself I could have control over my life. See : Dieting was the obvious answer to just about all of my problems.

Now, ADHD, you and I both know how things lead to other things. You and I also both know how to take things a liiiittle bit to the extreme. So, it shouldn’t surprise you too much when I tell you it took only about 3 weeks for the dieting to go full-blown Anorexia.

Cue my first very-own psychiatrist. And then another, and then another, and then another. That is not when we met, though. Not in a psychiatrist’s office albeit the very place one might go to find you.

We met like one meets in the 21st century : WE MET ONLINE. Through the tweet of an internet’s intimate stranger. We met long after my eating disorder had resolved, leaving almost no trace. We met after I lost jobs, dropped out of colleges, after I had almost given up on long-term partnerships. We met after I came out. We met when I had nearly exhausted all possible ‘fixes’ to the problem that was : Me.

We met after I had NOT grown-out of : constant overwhelm, late payment fees, library fees; forgotten this, forgotten that; super dramatic love interests(do-pa-mi-ne!); missed deadline, missed deadline, missed deadline; shame, shame, shame; and loneliness. 

We met when I was about to turn 30. Like, literally – I started the day of my 30th birthday with yet another psychiatrist appointment. And then – do you have time for another plot twist??

Okay. And then, I dropped out of appointments with her, because I was deep in administrative procrastination and couldn’t deal with my health insurance card renewal! Of course I was ashamed to tell my psychiatrist’s assistant, so I lied about what was wrong with my card, and at some point became too ashamed to go back there… Yes, I was paying for that health insurance but no benefits at that point in the game.

I was in quarantine with all my flatmates in April 2020 of the corona-era when my (6th, I think?) psychiatrist called and woke me up to let me know : all tests confirmed the suspected diagnosis. I had – well you know already, and so did I. I had you – ADHD. .

It was the second day of quarantine and the world outside, out of reach, was slowly realizing what the heck it was in for. At that point in time, I was worried about my sick flatmates. I was scared of getting sick myself, even if I was just 33. So I didn’t cry of relief that day, nor the day after, nor the day after, and so on, and so forth. I didn’t celebrate this reckoning then but, maybe, hopefully – I will, someday soon.

The meds are helping. My life is some kind of a mess still, but I am not. And I know now – with certainty : I am not.

I’m doing great. Not in a classical way, mind you. I am not rich nor do I have a fancy job (not anymore, at least, and probably never again). But I believe that, if more people were like me, or – to be accurate – if more AFAB white people of the western world were like me, the world might be a better place.

Nice to have finally met you, ADHD.

Unidentified Gender, Age 34
AD/HD, Generalized Anxiety Disorder, Eating Disorder : Anorexia Nervosa

A man suffering from C-PTSD and suicidal ideation

Dear Suicidal Ideation

Fuck you.

That alone would be sufficient, but this letter is not for me or for you.  This letter is for the others that read it to help them understand the war you wage and the extreme measures I must consider to keep you managed.

To be fair, doctors fail to have a consensus if the symptoms I experience are the PTSD, the saucier version C-PTSD, MDD, or any of the others listed in my medical chart.  You hide in the darkness of all those letters and let your symptoms do the work.  You use the self-inflicted injuries to muddy the waters for my care and create distance between myself and everyone else.  I have come to wonder regularly if the violence is not simply maladaptive coping, but an attack on this malicious darkness that infects my reality.  I contend that the violence is actually a successful coping tool against you, but we will save that argument for another venue… Who are you – really – and would it make any real difference to know you by a single name?

You created an environment of toxic thought; focused almost exclusively on suicide.  The lines between ideation and intention blurred to the point most doctors close to your darkness inside me agree that it is all intention at this point.  In the beginning, a day or two here and there you attacked my mind with the “need” to die.  Decades later we dance for 8-12 hours a day, waging a relentless trench war for every cell and protein string in my mind.

In less than a month, your attempt to end the war 10 years ago will have failed.  Many at the time called it an act of god, part of a divine plan that you failed to end my life.  The cocktail of drugs, so accurate I rarely share it outside of a conversation with professionals.  My rage and the adrenaline it offers, more likely for my salvation.  For more than 24 hours after that battle, your plan left me helpless, alone, battered and alive on the floor.  Help moved me to a couch that next day and for the better part of a week I laid helplessly unaware of anything, as my body cleared out your attack.

Five years later you attacked on two fronts.  The first attack that year, another overdose.  The battle winning you 3 days for me in ICU that have your allies, the nurses, an opportunity to express this painful emotions that blamed me for your attack. The second, a less eloquent and far more successful attack with a tourniquet around my neck.  Your second attack left me “black” and “cyanotic” on the psych hospital bathroom floor.  An innocent found me and was able to bring me back.  You had failed to win this battle, but the war was forever turned in your favor by publicly defeating me.  Nurses even angrier, doctors scared, all joined your assault on me.  Leaving me in isolation for a week, in that pink paper gown, in that empty room – I sat as a prisoner of war, held by your new allies; my so-called ‘saviors’.

5 years later we return to the present and the cycle of war is escalated to unimaginable heights.  I have new allies, doctors with a better understanding of how you work.  While you are defeating the new weapons (ketamine, marijuana, etcetera) that they have been using, you still struggle to bring this war to an end.  My team agrees you have an edge as we enter our heightened season of battle.  You had a secret ally in COVID that decimated most of my support structures.  While I survived last season, you successfully utilized COVID to maintain a foothold that successfully prevented my season of recovery.

As we approach the anniversary that your sadistic, rapist began his season of torture to break me down, remember not the torture he inflicted, the repeated violations of my body, the deep wounds that still bleed from those battles long ago…  Remember the rage that defeated him in the spring.  That same rage beat you 10 years ago as you tried to end your war on me.  That rage that has drawn a line so deep that for 5 long years has held the line against you.

Could this current push I have been experiencing be your last gasp?  A desperate attempt to end a war you may have already lost?  Most of me wants you to win, most of me betrays me to assist you in completing suicide.  Yet, that rage of an 8 year old little boy who stood up to your accomplice stands in your way again as it always has since awakened by your ally.  That rage that draws a line so deep in my flesh that the scarred walls keep you helplessly out of control of ending the war.

I acknowledge you have kicked my ass three times since this current war started on January 21, 2008.  I also realize that 99.9352051835853% of the time your battles FAIL to convince me in taking serious action to ending my life.  Most important you have failed 100% of the time in being able to do it – I’m still alive, aren’t I?? (Insert middle finger emoji and big smiley face here!)

You and your allies have relentlessly attacked me for more than 3 decades.  Your armies vastly outnumber my allies.  You even manipulate me into helping you on a regular basis. I have the mental and physical scars that show the damage you have done in decades of war.  On a day that started where I thought you might finally be on the verge of winning this war – in what has felt like our final battle – I stand victorious in holding off this epic battle. A battle that only occurred in my mind…

I may not win this war.  Hell, I believe I want you to win this war at times.  Most of my doctors will concede when pushed that you will win this war, but for tonight I stand up to you bloody and bruised from battle to say one thing.  FUCK YOU!

Male, 43 Years Old
CPTSD, MDD, Agoraphobia, Generalized Anxiety Disorder (GAD)… Suicidal Ideation

cancerous cells to accompany a poetic letter written to cancer

Dear Cancer

NOTE (from the Author): I wrote & published this on my Instagram account because I lost my brother & step-mom to cancer – my sister successfully battled it.

Just some rogue cells
Drinking from the Fountain of Youth,
Trying to survive
In a hostile world,
Lashing out at all around
In anger and confusion.
You’re not like the others;
Uniform, compliant,
Following the rules.
You live in the margins,
A deviant,
Inflicting damage because
That’s all you know
How to do.
Dear Cancer,
Like all errant,
Atypical cells,
We will fight you
And we will win.

Female, 60
Daughter & Sibling