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Lady Gaga has penned an open letter about post-traumatic stress disorder (PTSD).

In which she describes her suffering from the condition as a “daily effort” and urges others to “overcome their shame” that is usually associated with mental health problems.

The singer first revealed that she suffers from post-traumatic stress disorder earlier this week. Now, she has posted a powerful letter to her Born This Way Foundation website, writing: “After five years of searching for the answers to my chronic pain and the change I have felt in my brain, I am finally well enough to tell you. There is a lot of shame attached to mental illness, but it’s important that you know that there is hope and a chance for recovery.”

“It is a daily effort for me, even during this album cycle, to regulate my nervous system so that I don’t panic over circumstances that to many would seem like normal life situations. Examples are leaving the house or being touched by strangers who simply want to share their enthusiasm for my music.”

“I also struggle with triggers from the memories I carry from my feelings of past years on tour when my needs and requests for balance were being ignored. I was overworked and not taken seriously when I shared my pain and concern that something was wrong. I ultimately ended up injured on the Born This Way Ball. That moment and the memory of it has changed my life forever.  The experience of performing night after night in mental and physical pain ingrained in me a trauma that I relive when I see or hear things that remind me of those days.”

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