TOBY: LIVING WITH INVISIBLE STRUGGLES

A young adult opens up about living with multiple mental and physical health challenges—and the daily battle that millions silently endure.

Toby, 20, lives with more than 10 different conditions that affect his mind, body, and behaviors. From IDD (Intellectual/Developmental Disability) and autism, to PTSD and bipolar disorder, his life is shaped by constant challenges many cannot see.

“There are times I don’t even feel real,” Toby admits, describing the disconnection that often comes with his conditions. Every day means navigating mental health triggers, physical symptoms, and emotional exhaustion.

But one of the hardest battles isn’t just the symptoms—it’s the system. “It’s hard to find services because I don’t fit into the box,” Toby says. Many programs are designed for only one diagnosis, but when someone has multiple overlapping conditions, it can leave them without clear options or proper support.

Experts agree that comorbidity—when several conditions interact—complicates both treatment and access to care. “It’s not just about managing one diagnosis at a time,” specialists explain. “It’s about addressing the whole person, and that requires flexibility our systems often lack.”

Still, Toby pushes forward. Through self-awareness, therapy, and small coping strategies, he works to hold on to moments of stability and connection.

“I struggle every day, but I’m still here. That has to mean something,” Toby says.

TIPS FOR MANAGING COMPLEX CONDITIONS

1. Track your symptoms. Journaling or using an app can help spot patterns and triggers.
2. Create small routines. Structure reduces overwhelm when multiple conditions compete for attention.
3. Build a support circle. Therapists, friends, and peer groups provide grounding and encouragement.
4. Practice grounding techniques. Simple exercises—like naming five things you see—can help during dissociation.
5. Advocate for yourself. If a service says you “don’t qualify,” ask for alternatives or referrals until you find a fit.

FAST FACT

1 in 5 U.S. adults lives with a mental health condition, and many manage more than one.

RESOURCES WORTH KNOWING

• NAMI (National Alliance on Mental Illness) — Education and support for individuals and families.
• Autism Self Advocacy Network (ASAN) — By and for autistic people.
• Crisis Text Line — Text HOME to 741741 for free, 24/7 support.
• 211 Helpline — A national directory for locating local services that might not be widely advertised.