Be it depression, anxiety, PTSD, or another comorbid mental illness — we cannot talk about migraine without discussing mental health. In this episode, Kat and Skye set down their humor in exchange for vulnerability. They share their personal experiences with chronic pain, anxiety, and depression; and how grief, fear, and isolation factor into the equation. Come for the realness, stay for the glimmer of hope.
Please note: This conversation includes heavy mental health topics such as suicide and suicidal thoughts. This section takes place from 9:03 to 12:32 if you’d like to skip it. If you or a loved one needs help right now, please call the National Suicide Prevention Lifeline at 988 or contact the Crisis Text Line by texting HOME to 741741. International resources can be found here: https://twloha.com/find-help/. Take care of yourself.
You can also listen on our Spotify for Podcasters page and on Apple Podcasts.
Additional Reading:
Why We Need to Include Chronic Pain in Suicide Prevention
Episode Transcript:
Skye Gailing
Welcome to Health and (un)Wellness.
Kat Harrison
A podcast brought to you by The Mighty, where we put the human back in health. I’m Kat.
Skye Gailing
And I’m Skye, and we are your hosts for this season, Mighty With Migraine.
Kat Harrison
Between the two of us, our heads have over 33 years of experience being a pain in our brains.
Skye Gailing
Yours too? Let’s be friends who wear sunglasses inside.
Kat Harrison
Now on to today’s episode, where we’ll be discussing the connection between migraine and mental health.
Skye Gailing
Yep, and right up top we just want to give a quick trigger/content warning to let you all know that during this episode, we will be discussing suicide, suicidal ideation, and other intense mental health topics during this episode.
Kat Harrison
If you need support, you can call, text, or chat the Suicide and Crisis Lifeline at 988. If you’re in the U.S., you can also text “home” to 741741 to connect with the Crisis Text Line. Take care of yourself.
Hi, Skye.
Skye Gailing
Hello, Kat.
Kat Harrison
I feel like we are both excited but nervous about this episode. We both love talking about mental health, but it can be a little scary.
Skye Gailing
Yeah, you know, I told you and Camara, our lovely producer, right before recording this that I already cried this morning. So…
Kat Harrison
Looks like it’s my turn!
Skye Gailing
…we’ll see what happens with this episode. It’s a big one.
Kat Harrison
Quite frankly, the connection between chronic illness, chronic pain, and mental health deserves its own season. Because I think that it cannot be stated enough that the connection between physical health and mental health is significantly more intense and entwined than people even realize.
Skye Gailing
Right, it’s all a feedback loop. And there was even a survey from our friends at the American Migraine Foundation that showed that almost 60% of patients with migraine reported being diagnosed with an anxiety disorder. And 50% of those patients — of the total patients in the survey — reported being diagnosed with depression, and 25% reported being diagnosed with migraine and PTSD. So numbers, you know, they back us up.
Kat Harrison
I would love to ask — since you are open, Skye — do you live with depression, anxiety, or PTSD?
Skye Gailing
Oh, I live with a lot of things going on. So, my mental health was like the first thing, the first I guess, set of diagnoses I ever received. I was diagnosed with obsessive compulsive disorder (OCD) when I was eight, you know, back when “Monk” was the only representation I had. And then I think a couple years after that, I realized I was also living with generalized anxiety disorder; age 14 diagnosed with depression that would later go on to be a diagnosis of bipolar two disorder, which has depressive episodes and episodes of hypomania. I deal with panic attacks. I’m not new to the mental illness game, it runs in my family — very, very familiar with it; very comfortable I guess talking about it, dealing with it. Really, it’s all I’ve known since I was a kid. How about you, Kat? Do you have a history with any depression, anxiety?
Kat Harrison
I have a history but I do not have any formal diagnoses. I would say that I struggle significantly more with anxiety, and my chronic pain absolutely plays into that. And then I have undiagnosed PTSD, more because I really just haven’t pursued a formal diagnosis, but it stems from medical trauma. So I feel like the connection between it all is just like, it’s really intense.
But I want to tell this story really quickly before we dive in more, which is that I did not realize until my early to mid-20s, that chronic pain patients can and will struggle with mental health, and that it’s very, very normal. And I did not realize it until I started going to my new-at-the-time neurological and head pain clinic. You’d go to like a half-day orientation, essentially; and you learn about all the specialists that are there, you have your very first appointment — which is like an hour and a half — digging into anything. And then they make an appointment with a therapist, and the therapists are housed at the head pain clinic. And they specialize, obviously, in chronic pain patients… and I think my mind was blown, Skye!
Skye Gailing
I’ve never heard of anything like that before. That sounds incredible.
Kat Harrison
I was very taken aback. Like at first, I admit that there was shame there. Kind of this whole, “Do I really need a therapist? I don’t actually struggle with my mental health.” I was, I think, just in great denial. But what an eye-opening experience for me to realize it’s not just me.
Skye Gailing
Yeah, like you said, it’s not talked about enough. And I do think because there is that stigma and shame associated with — you know — asking for help, going to therapy. I’m a big fan of therapy. Like I said, I’ve been there since I was eight and we actually asked our community members on The Mighty if they have ever gone to therapy to process their chronic pain or chronic illness. 33% said “yes” that they’re currently in therapy and it helps them cope; and 30% said “yes, they’ve tried it in the past.” And those are the two most popular responses, which I thought was super interesting because like you said, it’s easy to feel like you’re alone or that like, “Oh, well I don’t need help. I’m fine. I’m dealing with it. I’m coping.” Therapy is definitely not, you know, a panacea. It’s not like the magic thing that will help you accept your chronic illness or your chronic pain. I speak with my therapist every week. Big fan of her.
Kat Harrison
Do you talk about your pain? Your physical illness?
Skye Gailing
Oh, absolutely. Yeah, never-ending conversation. I’ve even experienced depressive episodes that have been triggered by a new onset of symptoms in my physical illnesses. Or my first surgery, when your knee just stops working all of a sudden when you’re just walking on a flat road… that can lead to depression.
Kat Harrison
That will do something to ya!
Skye Gailing
Oh, gosh, I think I waited like four months for surgery. And so my entire summer was just spent in bed, which I think we can both identify with — #Relatable. But yeah, like you said, the two are intrinsically linked.
Kat Harrison
What’s interesting to me, Skye, is I’m really glad to hear that therapy is working for you. So I’ve been in therapy at two different points in my life. One when I was quite young, and that was me verbalizing to my parents, “Something seems off,” and I couldn’t identify it at the time. And then I just, after a while, I felt like my therapist and I just weren’t a good fit. And I think that part of that was my age. I just definitely wasn’t self-aware enough to, I think, get something out of it. I did that whole thing where I went to therapy and told everyone I was “fine.”
Skye Gailing
Oh, yeah. Been there.
Kat Harrison
I know, and therapy doesn’t do as much when you’re doing that! And then when I went through my head pain clinic, I will admit that I’m not quite sure I felt, again, like I jived with my therapist; and I didn’t really have many other choices at the practice. I’m thinking I should go back at some point. I’m reaching that period where I feel very cognizant of it. I finally feel like I can let my walls down and talk about it. But my chronic pain is absolutely the number one reason why I struggle with my mental health just because I feel like the diagnosis has just taken over everything.
Skye Gailing
I wish I had something, you know, profound or like great advice to have. But no, it sucks. Being in pain sucks; dealing with migraine, nausea, or light sensitivity… it sucks. Yesterday, I spent the entire day working while wearing my sunglasses. And I was in excruciating pain. And I was miserable. You know, like, of course, you deal with depression. And there’s also the grief that goes with chronic illness because I don’t know a single person who lives with a chronic illness that hasn’t experienced that grief of, “Oh, is this my new normal? Is this the rest of my life?” Chronic is a long time. And it’s hard to come to a place of acceptance. And I’ve personally been where I’m like, “OK, I accept this is where my migraine symptoms are at. I get it.” And then all of a sudden, I get hit with hemiplegic symptoms, and I’m like, “Oh, great, it all changed again… gotta learn to accept this one.” And I think the grief and depression that go with chronic illness is just like a cycle. At The Mighty, we’re like “grief isn’t linear,” and it’s true — even including grief over being sick.
Kat Harrison
I think that is really hard to explain to other people. Because I think that everyone experiences loss, like there is no way to get through life without experiencing loss, whatever that looks like. With the pandemic I feel like the concept of grief, the loss of — aside from actual lives — but the loss of experiences, the loss of school, the loss of milestones, the loss of relationships, and friendships. I feel like we’re getting there in terms of conceptualizing grief that way. But anytime I talk to anyone, especially people who don’t see me normally; when I try and talk about [things] like my “old normal” versus my “new normal,” and coming to terms between the two. I think what’s really hard is that people have this misconception that if you’ve lived with a health condition for a very, very long time that you’re good to go. You’re feeling great. You’re dealing with it.
Skye Gailing
“Why aren’t you over it already?” Oh my gosh.
Kat Harrison
Two decades, Skye, and I still have days where I wake up and I go, “I cannot believe this is my life.”
Skye Gailing
We knew this would be like a hard but important episode of the podcast to record but it’s like, I’m sorry you also go through that. But I’m glad you brought it up because I was reading this article in Reuters and they cited a 2018 study that showed that 1in 10 deaths by suicide in the U.S. are in people with chronic pain.
Kat Harrison
I just got chills.
Skye Gailing
I’ve experienced suicidal ideation for an extended period of time twice in my life, once when I was 14 and I had experienced loss, family changes, everything. But then in 2021 I was like “OK, time for me to make a change in my life. I think I’ve accepted where I’m at with my migraine, my Ehlers-Danlos. Like all my physical conditions… I think I have a handle on things.” And I did not have a handle on things. I tried to go off to grad school for the second time and I got there and the change was too much. I was in the middle of the city during the height of the pandemic and I had also just found out that my immune system… something wonky is going on with it. So that was alarming. But I was like, “OK, I’ll just push through.” And meanwhile, you know, of course my migraine with all the stress going on, and the changes — like my head is in excruciating pain. I’m wearing sunglasses all the time. And I was like, “OK, just push through, push through,” and I couldn’t, and I felt so defeated by my own body. And I felt also let down by an ableist society that the suicidal ideation came creeping back in.
And I mean, luckily/unluckily, when I first had an inkling of experiencing suicidal ideation, I was on the phone with my Dad who I know is a safe person to contact during that time when I’m feeling that way. And I was like, “OK, what do I do now? Something’s got to change.” I did go seek help about that. But it was also hard finding the right kind of mental health help and treatment, because my physical conditions were so linked to what my depressive episode was really surrounding. And it’s hard trying to balance the two and also make sure by taking care of one, you’re taking care of the other and finding professionals to help you deal with all of it.
Kat Harrison
Let’s take a quick break and then dive back in.
Ubrelvy Migraine Mid Roll
Hi, I’m Ali Raisman. I’ve been living with migraine for a while. As an athlete and gymnast I was taught to just power through the pain. Now I use Ubrelvy or Ubrogepant to treat my migraine attacks. As soon as I feel a migraine attack, I take Ubrelvy, which provides me with quick relief. Once I get relief, I go on with my day. I’m partnering with Ubrelvy to share my migraine story.
Ubrelvy quickly stops migraine in its tracks within two hours without worrying where you are. Most people had pain relief and some even had pain freedom within two hours. Ubrelvy treats migraine attacks in adults and is not for prevention. It’s available by prescription only. Do not take with strong CYP3A4 inhibitors or if allergic to Ubrelvy. Allergic reactions can happen and may occur hours to days after use — get medical help right away if you have swelling of the face, mouth, tongue, or throat or trouble breathing. The most common side effects were nausea and sleepiness.
My hope is that by sharing my migraine story, and the relief I get from Ubrelvy, it can help someone else. Ask your doctor about Ubrelvy, the anytime, anywhere migraine medicine. Find more product
information at Ubrelvy.com or call 8444-UBRELVY. Sponsored by AbbVie.
Kat Harrison
…and we’re back! The treatment aspect, I think, is really important to bring up. So, when we think about suicidality, and we think about chronic pain, or we think about migraine, there are a couple of things going on there. I think the first thing, absolutely, is what we’ve been talking about: the way you feel about yourself, the way you feel about your life, that this isn’t what you had envisioned. But then I think there is a very, very, very real and inescapable reality, which is: the physical trauma, the slogging around day after day, and the possibility that you do not get relief, that you cannot get the treatments that you cannot have access to medication, that you cannot find the type of specialists — whether you don’t have access to them, or their insurance doesn’t cover them, whether you don’t live in an area where it’s possible — all those things weigh in to suicidal thoughts.
Skye
Yeah.
Kat
It’s very hard for me — I personally don’t really deal with suicidality, but I’m very, very familiar with stories of people who do when it links to chronic pain. It’s actually very interesting these days, like you can go on to LinkedIn, and I follow a lot of pain advocates, and it’s something they talk about often. The worst posts I see are people who have died by suicide with the cause not being depression, with the cause technically being chronic pain; obviously, there tends to be a mental health component as well. But it’s very, very real. I mean, 1 in 10. That’s a tough statistic to sit with.
Skye Gailing
Yeah, I definitely feel that heaviness.
Kat
I would love to talk about anxiety. This is where I’m like, “This is me.” And I think the thing about anxiety is — there are two levels of it. When we think about migraine, I think that the first level is, “I live with anxiety, whether or not I have migraine,” right? The rituals I need to go through, the ruminating thoughts, the intrusive thoughts.
Skye
Meeeee! Yeah.
Kat
Yeah. A thing. A thing. But then there is the anxiety that comes from living with migraine. Things like, “Am I gonna have an attack today?” — to me, it’s the hardest part. If I try and make plans, if I have a really busy work day, if I need to go out in public — I’m just living in constant fear that I will have an onslaught of debilitating symptoms. And for me, it’s really scary because loss of vision is something that I experience. Sometimes it happens really gradually. But sometimes it happens like shutting off a light, and that fear of being out in public — not having someone with me, or heaven forbid, driving — that is my biggest fear.
Skye Gailing
I don’t have a driver’s license and I am 26, going to be 27 this year, and most of it is because of fear and feeling a lack of control when on the road. I know how to drive, I’ve been driving before. In New Hampshire, it’s fine. You just need an adult over 25 who can drive in the front seat with you — don’t worry. But I’m afraid of experiencing a sudden onslaught of symptoms. I’m really afraid of the dysautonomia symptoms, I’m afraid that I might faint — which I also get that same lightheadedness and autonomic symptoms during a migraine attack. So there’s that fear, and I don’t want to put a moral value on it, but I’ve been so bad about getting any activity and going outside. Being outdoors in the sunshine is one of my favorite things on this earth, like reading outdoors.
Kat Harrison
Oh, reading outdoors, heaven!
Skye Gailing
Yes, I have my little lawn chair and stuff. I haven’t set it up because I’ve just been so light sensitive. I’m afraid to enjoy myself or to do anything, or even, I haven’t been to the gym. I’ve been paying for this ridiculous gym membership for so long. And it’s so expensive. And I know that going to the gym improves my physical and mental well-being. But I’m so afraid because the last time I went to the gym, it was right before a 17-day migraine attack that sent me to the ER three times. And then of course, I’m like, “OK, well, I experienced that horrible 10 out of 10 pain, where I just feel my lowest, like physically, mentally, and then will I have to worry about going to the ER?”
Kat Harrison
And that’s when the fear is justified. You literally had an incident where you did something and the reaction was a 17-day migraine. And I think that’s the hard part, especially when I’m talking to other people, they’re like, “Don’t let your fear control you. It’s OK if you get a migraine [while] out!”
Skye Gailing
“Get back on the horse!”
Kat Harrison
I literally have been in scary situations. I was living abroad when I was in college, and being in another country and not knowing nearly as many people, not having my family that I can call. I mean, thankfully I had students I was studying with that knew all about my health, but it has happened — like my fear is justified, it’s real, and it’s connected. I’m still figuring out when to allow myself to push past the fear and when I allow the fear to talk. What I try to do, at least, is monitor how I’m doing up to the fear, right? So if I feel like I’m experiencing migraine symptoms, and then all of a sudden I’m hit with “What if I get an attack?”, usually I tell myself, “OK, it might happen because you’re seeing all the signs.” Versus “I’m feeling OK, I’m gonna go to the library,” I tend to push past my fear [in that scenario] because the likelihood that it’s just gonna come on without any warning… for me, at least, that doesn’t happen as often.
Skye Gailing
You know, we’re at the certain point where you and I have enough years under our belt where we’re like, “OK, well, I’ve had all these symptoms, I have a general idea of how wonky I get before it gets really bad.” The fear’s real. I mean, that’s also something I talk a lot about in therapy, because like you said, yeah, I live with anxiety on top of all of this, but then it just gets amplified when I’m genuinely afraid of doing anything. Because I’m afraid of my own migraine condition. And that was just really hard to say out loud in that way. There’s stuff I need to do or stuff I want to do. But right now, I’m fearful. Even in college, I didn’t study abroad. I got accepted to a program and everything, but I was afraid because my health wasn’t good. I was like, “I can’t, like I’m afraid of all these things happening.”
Kat Harrison
This is something I talk about. You know, I’ve had 15 surgeries and I think that each one gets harder. It’s one, the reality of the fact that my body is not bouncing back as fast. But this is what I tell every single nurse who gives me an IV, which is like, I know what can happen when it goes wrong. And that is the fear that’s driving me in this scenario. Like for me, one of the biggest anxiety-inducing things is trying a new medication.
Skye Gailing
Oh, yeah, I bet.
Kat Harrison
I had a side effect from an antibiotic that literally poisoned me! And going into trying a new thing, I tend to get side effects of anything. And I have a lot of med allergies. It’s like, “What’s going to happen to me?” Does the anxiety of taking it and the possibility of it working outweigh the possible side effects that I’m going to feel? That is a very, very real and common experience for me.
Skye Gailing
Yeah, and it’s a special kind of fear when the fear is coming from inside the house. You know, when you’re afraid of your own body doing something? Or your own body reacting in a certain way. It’s hard.
Kat Harrison
Do you feel like the people in your life — medical professionals, friends — do you feel like people understand how migraine affects your mental health, or no?
Skye Gailing
I think a select few. So I’ve said it before, I’ll say it a million more times. I’m lucky enough to know the amazing Kat. So I feel like you and some of our other friends here at The Mighty, I know I can say like, “Hey, I’m not doing well. And here’s why.” And everybody will be like, “Oh, yeah, I feel you, do what you got to do. Like, how can I help?” But I often feel like sometimes, I don’t know how to put it into words, or I don’t know how to explain it to people. Or if I do explain to, like, my parents — they love me, I love them. But if I express how my migraine is affecting my mental health, they’ll be like, “Well, how do you even live like that? Or like, “You’re suffering? No wonder!”
Kat Harrison
I get that a lot.
Skye Gailing
Yeah, I don’t know what I need from them. But it’s not that.
Kat Harrison
I have a few people who I feel like I can talk to, but I feel like the problem that arises in my life is this idea that it makes other people feel bad.
Skye Gailing
That’s it! Yes.
Kat Harrison
And I get it — it probably is really hard for me to talk about it, and probably what’s even harder for them, like you said, there’s nothing much they can do for me. But I said this to my mom the other day, it’s the perfect example. I had finally been able to go out and do something fun for a morning and met a friend for coffee and for lunch. And I texted my mom the next day and I said, “What is it like for people to live in a body that doesn’t punish them the next day after living a ‘normal’ life?” And my mom was basically like, “I hate that for you.” It was the perfect response. I didn’t need her to try and “Well, at least you have to go out,” no. Just acknowledging that it was really hard, that my reality is tough… that’s what I needed.
We actually asked our community if they feel like they’re heard when they talk to other people. I’m really sad. When I look at the results, 35% of people feel like they don’t have anyone, that no one makes them feel heard. And this is the one that’s even more like dun dun dun, which is that 30% of people in our community said that they don’t even tell others how migraine affects them mentally.
Skye Gailing
Just sucks, the thing is like, it makes sense why.
Kat Harrison
It makes so much sense.
Skye Gailing
It makes sense. I get it.
Kat Harrison
And there’s really nothing like, I don’t have like inspirational advice. I think that living with a condition like migraine is just taking each day as it comes. There’s that “practice gratitude, you should be thankful for the things you do have.” And like realistically, I do actually really try and do that in moments when I feel like my thoughts are really, really spiraling. I try to remember, “OK, here are five things that were good about today.” Even if it was: I put on new clothes, I put on deodorant… things that are small that I’m like, “OK, I have migraine, but I was able to do those things.” It’s a constant practice. But I’m curious, do you have anything that does help your mental health?
Skye Gailing
Yeah, I mean, like I said, I go to therapy every week. Love it. There’s so many other things that I know help me. But I’m currently at that point where I’m either too fearful of the next migraine attack to do them — you know, gentle movement, I love dancing, I do enjoy going to the gym. I love being outside… but I’m afraid; I’m afraid to mess something up. And that even with my other conditions, I’m also afraid, you know, I’ll hurt one of my joints and all of a sudden need surgery again. And there’s that fear of like, “Well, I’ve been there before it could happen again.” But I know that gentle movement — I hope nobody hates us for saying this — but like yoga, gentle movement, gentle yoga within what’s good for you… it’s good!
Kat Harrison
I have a secret.
Skye Gailing
Please, tell me.
Kat Harrison
I love yoga. I love it.
Skye Gailing
It’s so nice.
Kat Harrison
So much. And here, let me tell you something that I’ve done. So if I can do yoga in a day, I typically can’t do it in the morning because it makes me so fatigued for the rest of the day — rarely does yoga wake me up! But I love yoga at night, it helps me sleep; a barometer of if I’m having a decent day is if I practice yoga. And so something I started doing a few years ago is I write on my calendar every single time that I practice yoga, because I think that sometimes you get so deep into your pain and you think you’ve always lived this way and that life will always be like that. And then I look back on the beginning of this month, and I was like, “No, last week I practiced yoga three times. I moved my body,” which means that I didn’t always feel that way, it won’t always feel the way. What’s that saying? “It’s a bad day, not a bad life.”
Skye
Oh my gosh. And yeah, I need to like… I’m just gonna keep that in my brain forever.
Kat
Yep, yep. Also, I don’t know if anyone’s ever noticed, but Skye and I love some jokes.
Skye Gailing
Love coping with humor. Love it.
Kat Harrison
You know, love me some sarcasm. I love memes — memes really just take me out of it for a second. And sometimes I like to listen to comedy in the background. But I think just making fun of myself, making fun of the circumstances — it really, really helps me. And I feel like the days when I’m not able to make a joke, or I’m not able to bounce back, that’s actually a sign to me that “Oh, I’m actually, really not doing well.”
Skye Gailing
So I have this infographic I made that’s my depression relapse prevention plan or whatever. (Shout-out to my therapist who helped me come up with it.) But one of the things I made is a little box that’s like “signs that a depressive episode is coming” and it’s not laughing or not finding humor in things, if I haven’t laughed at something in a while. If somebody puts on like a comedic Dungeons and Dragons podcast, and I say, “turn it off,” that’s a red flag.
Kat Harrison
I think knowing your red flags is really important. And we didn’t actually talk about that. One thing I really wanted to make sure I mentioned is that, you know, we asked our community some words that they associate with mental health and with migraine and the reason I wanted to read a few of them off is just a reminder that if these are words are associated with how you’re feeling — you might need to seek help, you might want to talk to someone, you might need to move your body. So things like: weak, hopeless, lonely, helpless, broken, resentful, frustrated. First of all, I want to let you know that Skye and I also feel those ways.
Skye Gailing
Absolutely.
Kat Harrison
And I claimed a lot of power in my life when I was able to actually say that, because even though it doesn’t feel like it — to say that you feel powerless actually takes power. And it took me so long to realize that. But one thing I want to do, because I don’t want this whole episode to make everyone sad… I didn’t bawl my eyes out, so that’s a win!
Skye Gailing
Yeah, I haven’t cried yet, maybe I’ve just out of tears from earlier, who knows.
Kat Harrison
It’s possible! But on The Mighty we have an affirmations feature and I’m really, really proud of this feature. I wrote all the affirmations for our community that are separated by emotions and feelings, and one of them is an “in physical pain” category. And if you signed on to The Mighty, and you pick “in physical pain,” you’re going to have an affirmation that shows up. And Skye and I each want to read our favorite, as kind of a way to close it out in a hopefully validating way, but not in a toxic positivity way. But this one is my favorite: “Shout-out to anyone who lives a life divided into two normals, an old one and a new one. You’re worth the fight.”
Skye Gailing
Oh, I love that one Kat, so much. Here’s one of my favorites: “Pain without a name is still pain. And it’s very real for the person who lives it. We see you struggling and we applaud your survival.”
Kat Harrison
I applaud you, Skye.
Skye Gailing
I applaud you, Kat, and I applaud everyone out there. Thank you so much for listening. We hope that your head is kind to you today.
Kat Harrison
Join us on our next episode, where we’ll be talking about migraine in the workplace.
Skye Gailing
No pressure to bring your best self, just your authentic one.
Kat Harrison
Because we’re here for you, in sickness and in health. Download The Mighty app for more.
Skye Gailing
Bye for now.
Kat Harrison
Bye.