You have summed up my struggles so well. I had to give up the dreams for a career as a concert pianist that I have held dear since I was 12 years old. People don't understand how my physical pain from the chronic, structural condition in my hand can possibly be so bad that it makes me physically ill. Even worse, now that I am not trying to pursue a doctorate and don't play 8 hours a day, the pain isn't as bad and people think there is nothing wrong with me. I am still trying to find a new career. It is completely overwhelming, at times, and depressing. And my issue is not as severe as that which many of your readers deal with. I cannot begin to fathom how much more difficult it must be for them. Thank you for writing this.