on and off her whole life, but it was something she could manage and deal with when it popped up. Then, in the summer of 2018, she started feeling stiffness and pain in her fingers. It came and went, but by early 2019 she started experiencing debilitating pain in her back, elbows, knees, and fingers. She knew something was very wrong but had no idea what it was—and all of the pain and uncertainty caused her anxiety to skyrocket to a level she had never experienced before.
Birch thought that finally landing on a diagnosis would help, but she didn’t feel the immediate sense of relief she had expected. “If you read about psoriatic arthritis on the internet, it’s very doom-and-gloom,” she says. “It’s a progressive and degenerative disease, and I just found it so frightening. I had never had any health problems before or taken any medications, so it just sort of came to a head.
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