Ryan Adams recently underwent another battle with Meniere’s Disease, even switching to an acoustic portion of his show to combat the symptoms.

In a recent lengthy Instagram post, Adams looked back on his struggles with the disease and the various people who have reached out to him detailing their struggles.

“I used to think it was just an anxiety attack,” Adams said of his initial experience of the symptoms. “It takes time and support and love to figure out the difference. Then it takes time to fight that fight and rise up.”

Read the full message below.

Packing for Italy today but this is on my mind. There’s been so many people reaching out to me lately suffering from MENIERES Disease. I have to say, I wish I could take all that pain away from you. I’ve been suffering chronic MENIERES attacks for as long as I can remember. I used to think it was just an anxiety attack. It takes time and support and love to figure out the difference. Then it takes time to fight that fight and rise up. Get up, Get centered and focus your mind and body on new ways to balance, fight nausea and dizziness, stop the ringing and double vision. I feel lucky every day. I have the best friends and loved ones. I get to play with the greatest fellas in this band. I get to tour with the greatest crew ever. On days when my body wants to collapse and give in or I’m struggling to hold a guitar pic they are ALWAYS THERE FOR ME. You are my rock. So even though I can’t get back to every person who is struggling through this or their own battles, when I don’t have anything left and I can’t get out of bed for myself, I do it for you. I play for you. Because I want everyone to know if you’re fighting this, STAY STRONG and KEEP FIGHTING. You CAN and WILL get by. I’ll be on stage in the meanwhile throwing down as hard as I can for you. When you need a reminder. THAT is what RocknRoll is for. STAY STRONG