Young woman in college.

6 Tips for Your First Year of College With a Chronic Illness


I went to the school clinic a while back to get something for an ear infection. The nurse asked me the usual questions:

“Do you drink?” No.

“Do you smoke?” No.

“Do you do drugs including marijuana?” No.

“Are you sexually active?” No.

She was surprised because without a parent there, there would be no reason to lie to the school nurse. The nurse looked up at me and gave me a funny look, “You don’t do any of those?” No, I smiled sadly.

It’s ironic that college is supposed to be one of the best times of your life. Students are supposed to enjoy new freedoms, take risks, and begin to really live their lives. But not me. I have dysautonomia.

Transitioning to college was super difficult for me. Learning to take care of my body meant no drinking, smoking, or drugs – no typical “college fun.”

Here are a few tips to help your first year of college if you have a chronic illness:

1. Have a support team. Siblings and parents can help you through a lot. You’re going to need friends, too. I was lonely at the beginning of school so I made a support group of friends from high school, family friends, and my family until I made friends at college who became my new support group.

2. Find your limits. Just because you are sick doesn’t mean you can’t have fun. It just might mean a different kind of fun than “college fun.” Most medications rule out the use of alcohol and other drugs like marijuana. Personally, I can’t stay up too late. In the beginning of school, I stayed up to 11 or 12 every night. I learned that wears you down very quickly. Now, I go to bed around 10 every night, and I feel a lot better.

3. Pick the right friends. In the beginning it’s hard to find friends, and once you do, sometimes they aren’t the right friends. Yes, it’s cool to hang out with people who are really having a college experience, but eventually you will feel left out. I felt like I was judged by my friend’s new friends who didn’t know or care about why I wasn’t drinking or smoking. When this happens, it’s OK to distance yourself and find new friends. Remember friends aren’t people who push you to do things you are uncomfortable with.

4. Know you are going to repeat yourself. No one is going to remember your illness so you are going to tell them multiple times. People are going to want justifications for why you aren’t going out or drinking with them. The hardest part about this one is that no one knows what dysautonomia is and it’s not a quick easy answer. So, a lot of people just end up knowing you have a nervous system disorder and you can’t drink, without knowing the correlation.

5. Don’t skip class and don’t procrastinate on your work. For people whose health is more guaranteed, they might be able to skip a day. But for us, that one day might be the only day in a week that you feel alright. You need to save those skipped days for days when you can’t get out of bed or for when you are so sick that you can’t walk on your own. I try to do homework every chance I get just because I know later I won’t be able to. I can’t stay up all night to write a paper that I procrastinated on so I do it in chunks days before so that it gets done on my time when I feel good.

6. Stay close to home. I know it sounds constricting to go to a college so close to home but it has really helped me. I can call my parents at any time because we are in the same time zone. They can come up when ever I need them to. Honestly, when you are at college it feels like such a different world anyway, so it doesn’t seem so close.

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20 People Describe What It Really Feels Like to Live With Dysautonomia


Dysautonomia is a difficult condition to explain to friends and family, especially since symptoms can vary from condition to condition. You simply “don’t get it until you get it.” Dysautonomia Support Network asked our members, “What does it feel like living with dysautonomia?” in the hopes of generating responses that were transparent, honest, and helpful for caregivers, family members, and friends. Their answers blew us out of the water with how much it resonated with our community, regardless of whether they had POTS, Ehlers-Danlos syndrome, Chiari malformation, mixed connective tissue disease, or another condition. We hope that these answers will help foster a conversation with your loved ones one what life with dysautonomia feels like for you.

1. “It feels like a roller coaster you can never get off of. Being judged by the world for looking normal when inside you are anything but.” – Susan B.

2. “It is not ‘You don’t have to work!’ Instead it’s more like ‘I can no longer feel productive.’” – Beth S.

3. “Like you’re a prisoner in your own body (especially with not being able to drive since my spells seem to kick in then). Never knowing what you will be able to do one day and not be able to do the next day without problems.”  -Beth P.

4. “It is like living in an awful TV soap opera. You think things cannot get any worse, or you have seen everything, but then a whole new level of series of events happens. The worst part is that you do not get a break; there’s no option of changing the channel or turning the television off. There isn’t even a pause button. You just have to keep going through it all with no breaks. It is exhausting and drains you in ways you did not even know were possible.” – Jo C.

5. “Living with dysautonomia is like running full speed on a treadmill while standing still with lead weights tied around your ankles.” – Ariel A.

6. “It feels like you’re stuck in an unfamiliar body that’s always throwing a temper tantrum. You can’t control what your body does. You try to tame it, but some days you’re just too tired to fight and give in. Other days you’re determined to show it who’s the boss.” – Arianna L.

7. “Standing is a 50/50 shot of whether it’s all going to ‘go black’ for a few seconds, and every time, I swear, every single time I have a moment of fear my vision will never come back! Once it does, it’s a 75 percent chance that I am going to wobble for a few seconds and a 25 percent chance I’m slamming into a wall because I didn’t quite catch my balance! I’m used to it…my family isn’t.” – Alexandra M.

8. “I’ve described it to people as waking up with the flu, running a marathon in 100-degree humid weather, working a 12-hour shift unpacking the truck, and then running another marathon.” – Yasmin W.

9. “It’s like when you try to do too much on a computer and have too many things things open at once. Your first warning is when it freezes and then you can simply shut down and restart and be back to work quicker. Or if you continue to push and keep going, it might crash or overheat and it’ll take a lot more effort to get it functioning again. Or you simply forgot to plug it in and the battery’s dead again. Meanwhile, all of your friends computers never seem to malfunction, and it makes you feel like you’re doing something wrong. You apologize over and over again before you finally give up and start making excuses for why you couldn’t finish something. You feel like you’re always repeating yourself when saying, ‘Yes, I really do need to get it fixed, but every person that’s look at it has told me that there’s nothing more they can do and I shouldn’t try to do so much at one time.’ Just like humans, computers have their good and bad days. We just have to roll with the punches and solve problems as they arrive. Even the strongest antivirus can’t fix all of our computer’s problems, just like all doctors/medicines can’t solve a person with dysautonomia’s problems.” – Allie L.

10. “It feels like I wake up every day in some strange body; not the one I was born with and lived in for 46 years. It’s like I woke up one day in a body that simply doesn’t work.” -Tina F.

11. “It’s hard to describe the feeling of your body constantly running a marathon. I can wake up, feel pretty good, make a cup of coffee, and by the time that coffee is made, I’m getting hot flashes, dizzy, nauseous, shaky, heart racing and pounding, feeling really weak, all my muscles hurting all at once, and ending up sitting on the ground trying to catch my breath with tears in my eyes. It straight up knocks me off my feet. It is like your body on the outside is a beautiful calm, sunny day on a beach while, on the inside an Ef4 tornado is hitting with no warning. Nobody can see the violent storm going on inside, but you definitely feel it.” – April W.

12. “I guess one word that would sum up all the symptoms is debilitating. It is a life-altering condition that makes normal, everyday activities very challenging. I often feel like my body has given up and no amount of sleep, healthy eating, supplements, working out will make it function properly. While the condition is not a blessing, I think a blessing could come out of it in that I will be a better version of myself for having gone through it.” – Corinne S.

13. “One minute you feel good with lots of energy. The next minute you feel like you’ve been hit by a mack truck, and really sends your body into a tail spin. It takes a while to recover.” – Melissa S.

14. “Some days I feel like I did an Iron Man hungover, carrying a Fiat on my chest.” – Maeva C.

15. “The staff at the local Walmart have come to recognize me and when they happen upon me in an aisle and see me trying not to pass out, or having already passed out, they bring me something to sit on until I’m feeling well enough to stand up again.” – Heather W.

16. “It’s hard to describe, but it’s like you’re in a constant battle with your own body. It sometimes feels like you’re trapped underwater and not able to breathe, especially when your symptoms are at their worst! Then there is the feeling like you’ve run a marathon but are stuck in a loop and your muscles are cramping and you experience muscle spasms that don’t appear to ever go away! Then there is the, ‘Oh, you don’t look sick’ quote that people seem to say to you over and over.  I say to that ‘I maybe putting a smile and brave face on things, but inside it’s a completely different matter!’” – Katherine B.

17. “Inconvenient is one [word] I’ve been dealing with. It seems like the illness itself is inconvenient. The symptoms can worsen at inconvenient timing.  I feel like I’m inconvenient to people and people also have treated me like I’m an inconvenience.”  – Lyssa A.

18. “I am a strong woman, I’m tough, I have done things in the past and dealt with hard situations as a nurse and in my personal life. Dysautonomia is a thief of dreams, joy, stamina, identity, time, health, life! It’s like a cruel little creature, sneaking around in the dark waiting to take you somewhere you don’t want to go! It’s one of the clubs no one wants to join!” – Loretta F.

19. “Trapped in my own body. I’m young and want to go go go and get things done, even if this just means doing a load of laundry or vacuuming my house, but dysautonomia doesn’t let me do that. I’m at the mercy of my own body, as I struggle against what my body wants to do (pass out) versus what I want to do (live a normal life).” – Laura T.

20. “I feel like I have smoked for 40 years. After walking across the parking lot my lungs struggle my heart races, my brain struggles trying to get enough blood to keep me from passing out, my vision sees pretty lights. Then I remind myself I’m 29, and that I shouldn’t feel like I’ve chained smoked and then tried to run. Really I’ve never smoked and I’m only walking.” – Alicia D.

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25 Ways to Be a Good Friend to Someone With Dysautonomia


Having a chronic illness is different than having the flu or a broken bone.  Some days are better than others, with no indication as to how long “good days” will last. What can help the most is an understanding friend. Dysautonomia Support Network asked our members for ways they wanted their friends to reach out and support them. We loved hearing these ideas and hope it brings inspiration to others for how to be a good friend to someone with dysautonomia.

1. “To do their own research on it and try their best to try to understand and help spread awareness.” – Amanda S.

2. “[My friends] don’t try to ‘fix’ me with the trends they hear about. They let me know it is OK if I can’t do something but they don’t stop asking. If we happen to go somewhere they watch me like a hawk to make sure I am OK, and when I am tired they are OK to leave no matter what we are doing. Most of all they just love me for me. I don’t have to put up a strong facade… they see me at my worst and at my best.” – Lin A.

3. “Remember that we still have feelings! Don’t stop asking us to do things just remember that sometimes we may not be able to or have to cancel at the last minute.” – Susan B.

4. “One way someone who can be a good friend is by not always wanting to go out but to stay in also ordering take out and just hanging out watching movies or playing video games. A day in is just as important as a day out.” – Doreen M.

5. “My friend arranged a rotation of friends to visit once a week in the morning when I am home alone. Such a wonderful treat. They pick up a key the day before so they can let themselves in if I am sleeping or too weak to move.” – Naomi S.

6. “Simply ask, ‘What can I do to help?'” – Lexi C.

7. “Know that I am not ignoring you. I may have to cancel plans, I may have to focus on me, or I may just be too tired to physically hold a phone to call or text.”  – Shannon B.

8. “The best things my non-sicky friends have done was to ask me questions to help them better understand. Several of them have also researched on their own, and it has made me feel as if they care enough to take the time! It was all overwhelming to me to understand, and I began to understand that for many people who loved me, it was overwhelming for them too. The key is truly basic understanding, and that starts with an open conversation.” – Alexandra Z.

9. “Remember I am still me. It takes dignity and strength to live with what we have in this society, but I’m still in here.” – Lauren R.

10. “If you are going to the grocery store, call me and ask if there is anything I need. I will pay for it. I recently had two friends give me free meals from two online food services. I won’t have to shop for the ingredients. Just check in with me to see how things are going.” – Lisa C.

11. “Be patient with me, I cannot do things the way I used to. Try to understand, if it’s hard for them to adjust to my limitations, imagine how I must feel.” – Cindy W.

12. “Please be understanding and patient when it seems like I am being unreliable or flakey. For example, I may have to cancel unexpectedly because I’m not feeling well, or I may not return a call because my brain fog caused me to forget. I care about you and don’t want this illness to make it seem otherwise.” – Alia G.

13. “If you have the time, help with cooking and cleaning. Something that takes a half hour could be a huge drain on a sick person, so the amount of time you put into it is appreciated disproportionately to the difficulty of the task. Last year a friend came over and cleaned my kitchen floor. It was amazingly helpful.” – Julie M.

14. “The best thing a friend can do is stick around and be understanding. Listen to me when I need to vent even though it may feel awkward for you. I’m usually not asking you to help me ‘fix’ things, I just need you to listen.” – Emi M.

15. “Please don’t tell me what an inspiration I am when I share my struggles with you. I want to feel like your friend and not your ‘good deed’ for the day.” – Ginny F.

16. “It takes a lot for us to accept our life the way it is and accepting our limits, so if we say we can’t, then respect it.” – Nicole J.

17. “Keep in mind this is not a cold that goes away with some medicine. Just using the phrase ‘When you are better we should…’ breaks my heart because that day may come, and it may not. My job is to focus on today, and what I truly need from you is support today.” – Adrianne L.

18. “Remind me that despite how it feels, my illness hasn’t made me invisible. That somehow I am still a little bit of the person I used to be, and that I still have something to offer a friendship.” – Rachel R.

19. “Make plans with the unstated mutual understanding that they may have to be adjusted at the last minute! Also, listen with open ears even if you don’t understand everything. Feel free to ask if you want but if not, have your ears open.” – Ronni H.

20. “To continue to invite me places, and perhaps be mindful of our limitations. Like if we’re planning on an activity that has lots of standing, be aware of seating.” – Ashton A.

21. “Having a small visit from a friend or even have them say hello from time to time and see how things are going. It’s so easy to feel isolated and to know you’re not alone really means a lot.” – Tammy P.

22. “Understand that my trips to the ER aren’t because I’m overreacting or want attention, they’re because I genuinely am scared and need the treatment I receive there. That my vitals aren’t caused by an anxiety disorder or that my symptoms are not all in my head. Dysautonomia is a real debilitating and serious illness.” – Lyssa A.

23. “Offer to come to my appointments with me because you want to learn more! It shows how much you really care about me and what I’m going through.” – Adrianne L.

24. “This is a real disease that is drastically life-changing. There are new rules and limits my body didn’t have before.” – Laura T.

25. “By reminding me to take care of myself, and things I can do to do so.” – Melissa H.

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12 Suggestions for Advocating for Yourself as a Patient


When living with chronic medical conditions, one must advocate for their own health – actually, their own life. In my case I have several conditions which are rare or more difficult to diagnose and challenge doctors’ knowledge of medicine. These diagnosis include dysautonomia, Sjögren’s syndrome, Ehlers-Danlos syndrome and mitochondria dysfunction.

What these conditions have  in common is they often  present as illnesses that cannot be seen outwardly (invisible) but result in varied symptoms for the patient. Symptoms include headaches, joint and overall pain, digestive issues, breathing difficulties, unstable heart rate and blood pressure, allergies, exhaustion and eye problems. The list goes on.

Advocate: to speak, plead or argue in favor of; a supporter or defender. 

Advocacy is vital for survival. We must voice our concerns and encourage medical personnel to look in different directions for treatment. We are not your typical patient visit in which an infection or other ailment is treated and the patient recovers. Rather, each medical problem often produces a domino effect of issues. An illness can spiral and cause dizziness, dehydration and exhaustion. Some medications can interfere with our bodies and conditions. What takes a healthy person days to recover from may take us weeks.

I learned once again recently that I must advocate for myself – an action which is difficult when feeling crummy. Upon experiencing jarring, crushing pain in my stomach/back on two separate occasions, I knew something was wrong. The pain took my breath away and made me weak and wobbly.

During the first incident, I called the doctor and was told by a nurse to take nausea medicine. Thankfully the pain was short-term and I could rest.

Three days later pain erupted (on a Friday afternoon). I was left lying flat on the bed trying to remember how to breathe as the stabbing pain shot throughout my torso. Out of desperation I called the doctor and the same nurse (who is oftentimes a poor listener and rude) took my information. I wanted to be seen but instead was told I would receive a call back.

I could not move and took refuge in the small breaks between pain attacks. About an hour later I called the doctor again and the nurse rattled off all these things to do if I did not improve. I know a scan of some sort was mentioned but later realized that one cannot just walk in to a radiology practice and receive such a test; a doctor referral is necessary.

After pleading with this nurse to get me in with the doctor, as the pain was off the charts, she declined and I hung up. And then I cried out of sheer frustration at this nurse’s behavior.

I was seeking help from the very place I knew to go and was turned away. After living through a few more attacks I knew the emergency room was imminent.

A five-hour emergency room visit produced no answers. After fluids, nausea medications, a CT scan and blood and urine tests, I was told there was slight inflammation and to follow-up with the doctor.

After two days of resting I read the report from the ER. To my surprise, several tests showed abnormal results. No mention of this was given at the hospital. I researched these tests and knew the results could not be ignored. I would need to contact the doctor and risk the chance of having to speak to the nurse who had turned me away.

Instead I composed an email through the patient portal. It explained the two episodes, my being unable to see the doctor, the emergency room visit and the blood and urine results that were not disclosed to me. (Note: If I had felt better I would have inquired at the hospital about my labs. Regardless, someone should have read me those results.)

Since then my blood work normalized – after four blood draws. I have seen my doctor, who theorized that a virus hit me harder than it would a healthier person, causing intestinal spasms. If spasms occur again I will be treated with medications.

It took about three weeks to return to my baseline health. Living with chronic conditions, I know I will be challenged again to advocate for my health. Here are suggestions on how to advocate for yourself:

1. If possible, bring someone with you to the emergency room or doctor visit. Instruct that person on what questions to ask, including: “What are the results of the tests performed?” and “Which symptoms could arise that could warrant a return trip?”

2. Update and carry a detailed list of medications in your wallet at all times.

3. Carry a sheet with diagnoses, dates and which specialists treat each condition.

4. Ask for access to your patient portal so you can review notes/results from the visit.

5. Make a follow-up appointment with your primary care doctor to evaluate your condition, review information and see if additional treatment is necessary.

6. Realize that advocating can be difficult, but is necessary to receive the best possible treatment.

7. Don’t give up, even if discouraged.

8. Forgive yourself if you make mistakes, cry or forget to ask a question. We all make mistakes.

9. Learn what you can about your condition to be as educated as possible.

10. Review the emergency room paperwork for valuable information.

11. If treated poorly, state that on the hospital survey and/or call the patient relation’s person at the facility.

12. Ask others with similar medical problems for recommendations on good medical treatment and personnel.

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22 Things People Don't Realize You're Doing Because You Have Dysautonomia


Living with dysautonomia can be difficult and often those with it must adapt in unusual ways. We asked our members what things they do to survive their day-to-day that people don’t realize is because they have dysautonomia. We were surprised at how many simple ways our members help their symptoms that easily go unlooked by their friends and family. By hearing these stories, we can all get one step closer at understanding and empathizing with all it takes to live with a chronic illness.

1. “I use the table to help me stand, and I leave my hand there for a couple seconds to make sure I’m good before I start walking. I’m also not being rude when I pull one or both knees up and rest my foot on the chair while I’m sitting.” — Alexandra Z.

2. “If someone is sitting next to me I turn my whole body to face them while we are talking. If I have my head turned to the side for too long I start to feel dizzy.” — Alexandra R.

3. “If I’m checking my watch often, it’s not because I’m bored or impatient. I’m checking my heart rate on my fitness tracker because I feel ‘off’ and I need to know if my heart rate is too fast or crashing.”— Jennifer N.

4. “When I pull out my own salt shaker with Himalayan salt while we eat together, it’s not because I’m a salt snob, a salt addict, or I think the food is too bland. It’s because I need so much salt to keep my BP up that I salt everything — even salads, desserts, and water.”— Jennifer N.

5. “I keep my house at a comfortable 67 degrees year round because of severe temperature instability. When a friend comes over or we have guests, I offer complimentary blankets, sweatshirts, and fuzzy socks so they don’t become hypothermic. This is of course while I’m in a tank top and shorts.”— Kimi L.

6. “I wear a Fitbit to track my heart rate, and only for that reason. People see it and think I’m a fitness person, which couldn’t be farther than the truth.”— Erin V.

7. “I sway back and forth or go from flat-footed to tippy toes to get the blood moving while I’m standing still.”— Alexandra R.

8. “Touch my neck to check my pulse and make sure it isn’t freaking out.”— Shy A.

9. “I cut my hair super short to help with temperature regulation.”— Katie D.

10. “I work ahead in school and work, and opt to do group assignments by myself. I don’t know if I’ll have to miss this obligations if I suddenly become ill.”— Shannon R.

11. “I walk around and move about a lot, fidgeting, pumping my leg muscles, when standing. I am unable to stand still for long because the blood goes to my lower extremities and I feel faint. What might look like impatience, restlessness, or anxiety is actually my way of keeping my body conscious while standing. It often takes concentrated effort and deep breaths before I am able to move from a seated to standing position.”— Endurance G.

12. “If I am on Facebook on my phone when I am out or with you, I may be worried about a friend in a procedure, or surgery or in one of my groups, and I am checking on them! No, I’m not *that* addicted to Candy Crush or Dice With Buddies… I am just worried about my friends and waiting to hear for the ‘all clear’ from a major appointment or issue!”— Alexandra Z.

13. “I yawn a lot because of air hunger, not because I’m always tired.”— Faith P.

14. “Planning isn’t a neurotic tactic, it’s what I have to do to be able to do anything. I have to conserve energy in every way possible, including laying out my clothes the night before, laying out meds, and showering the day before. I know my body best. It may not make sense to you that I’m freezing, burning up, exhausted, or missing words, but trust me I’m fighting a war with my body.”— Wendy W.

15. “I’ve become internalized and antisocial.”— Angie B.

16. “I cross my legs in a weird way if I have to stand still for more than two minutes.”— Pauline B.

17. “I wear lots of layers regardless of temps because I freeze one moment (even when it is 80 degrees out) and the next I am sweating from every pore on my body (even when it is freezing out). Constant temperature roller coaster. If I get too hot or too cold it compounds my symptoms.”— Lin A.

18. “I avoid singing and blowing bubbles (I work with kids), wake up three hours early to start my routine so I can safely get out bed, shower at night, avoid standing and talking, use a grocery delivery service, shop for clothes online, the list goes on and on. No one realizes that every single thing I do, I do differently now than before I was sick.”— Lindsey W.

19. “After I stand up, I pause, to make sure I don’t black out.”— Adam S.

20. “I always have something to drink on me, even if I’m out. Water doesn’t cut it, so I try to have a sports drink on me. I have to be drinking constantly so my blood pressure doesn’t drop to the point of me passing out in public.”— Jo C.

21. “I wear a hat on buses with movies playing overhead so the changing light won’t give me a seizure.”— Shannon B.

22. “I take off my coat often and/or under-dress for the season (even in winter), because I can’t sweat properly and also get really nauseous and dizzy if I get overheated even a tiny bit.”— Adrienne S.

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The Ultimate Dysautonomia Playlist


We believe in the therapeutic affect of music at the Dysautonomia Support Network, so we asked our Facebook page followers, “If you live with dysautonomia, share one song that has helped you through a tough time.” Here are 25 of the most popular songs our followers came up with. The next time you are having a bad day, download this playlist and get inspired!

1. “Fight Song” by Rachel Platten  — Jody Alexander Harris

2. “Stronger” by Kelly Clarkson — Lin Aden

3. “The Climb” by Miley Cyrus — Amanda Aikulola

4. “Shake It Out” by Florence + the Machine — Shannon Jean Reynolds

5. “Alive” by Sia — Nicole Johnson

6. “Rise Up” by Andra Day — Kassady C. Oberacker

7. “I’m Still Standing” by Joel Osteen — Nicole Johnson

8. “Just Be Held” by Casting Crowns — Adrienne Shirk

9. “Titanium” by David Guetta/Sia — Dacey McCloskey

10. “The Fighter” by Gym Class Heroes ft. Ryan Tedder — Amanda Aikulola

11. “Migraine” by Twenty One Pilots — Dana Bradberry

12. “Brave” by Sara Barailles — Lin Aden

13. “All the Above” by Maino and T-Pain — Betsy Stark Barton

14. “Tough” by Kelli Pickler — Angela Cohen

15. “Real” by Of Mice and Men — Emily Lafferty

16. “Shake It Off” by Taylor Swift — Clary Angelia

17. “When You Believe” by Mariah Carey and Whitney Houston — Amanda Aikulola

18. “Get Better” by Frank Turner — Wendy E AndresEn

19. “Great Big Storm” by Nate Ruess — Jessica Santacrose

20. “Breathe” by Ryan Star — Jessica Perlini Fasso

21. “Get Back Up Again” from “Trolls” — Rachel Reitano

22. “F**kin’ Perfect” by P!nk — Brandi Burnette Collins

23. “Don’t Stop Believing” by Journey — Ali Zimmerman

24. “Trust in You” by Lauren Daigle — Beth Skinner

25. “Win” by Brian McNight — Amanda Aikulola

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