On Friday's episode of The Ellen DeGeneres Show, Sarah Hyland of Modern Family revealed the struggles she's been going through the past few years.
The now 28-year-old discussed her struggles with kidney dysplasia and endometriosis and the tolls the conditions took on her physical and mental health.
She went on to admit that she had struggled with suicidal thoughts.
"At the time I was 26, but after 26, 27 years of just always being sick and being in chronic pain every single day and you don't know when you're going to have the next good day, it's really, really hard."
She continued to tell Ellen just how serious her dark thoughts were.
"I would write letters in my head to loved ones of why I did it and my reasoning behind it, how it was nobody's fault. I didn't want to write it down on paper because I didn't want anybody to find it. That's how serious I was."
Sarah Hyland on Dealing with Chronic Health Issues and Suicidal Thoughts youtu.be
This is not the first time the actress has opened up about her struggles with mental health.
At the end of last year, Sarah told Self about her kidney transplants.
Hyland received her first kidney transplant from her father in 2012. In the fall of 2016, her body began rejecting the organ.
After going on dialysis, her brother Ian stepped up to donate one of his kidneys.
"When Sarah first told me that she would need a second transplant, the initial wave of fear was washed over by a sense of resolution. I only cared about Sarah knowing that I had her back and that she was going to be OK."
Sarah didn't have the same sense of resolution.
After her first transplant was rejected and she was looking at getting a second transplant, her mental health began to waver.
"I was very depressed. When a family member gives you a second chance at life, and it fails, it almost feels like it's your fault. It's not. But it does."
Sarah's bravery to talk about her struggles has inspired people everywhere.
@TheEllenShow @Sarah_Hyland It's great people with influence are speaking about anxiety & depression. It helps us,… https://t.co/9bbjf4UNuN— Monica Bahrami (@Monica Bahrami)1547237385.0
@TheEllenShow @Sarah_Hyland She’s like, giving us life goals. She’s spectacular.— Chris (Rad) Finch 7 (@Chris (Rad) Finch 7)1547228019.0
@TheEllenShow @Sarah_Hyland Very courageous & motivating. I wish you all the best on your journey to better health 💟💟💟— J Dibs (@J Dibs)1547245075.0
@TheEllenShow @Sarah_Hyland I would have missed @Sarah_Hyland and I'm just a 70 year old fan from Australia. You… https://t.co/jVGcZoo7Mg— Bernie Cox (@Bernie Cox)1547236003.0
@TheEllenShow @Sarah_Hyland Vulnerability is so unappreciated these days. As Someone who knows what dealing with Bo… https://t.co/nhKhAHkPqa— n_wickins📸 (@n_wickins📸)1547322196.0
@TheEllenShow @Sarah_Hyland So many walking around smile and hiding the pain. Thank you @Sarah_Hyland for speaking of yours.— JC Brooks Band (@JC Brooks Band)1547325275.0
You are so brave @Sarah_Hyland I admire you for speaking out loud about all your chronic pain and everything you we… https://t.co/i9r0GydlYD— Mare O'Connorvic (@Mare O'Connorvic)1547492876.0
@TeenVogue When we share our mental health stories we find strength, break down stigma and help others going throug… https://t.co/pYb8mi6Mzh— CUCS (@CUCS)1547215998.0
Proud of @Sarah_Hyland for talking about her journey with thoughts of #suicide with @TheEllenShow. Your voice will… https://t.co/jh5fBjOmdz— Howard Liu, MD MBA (@Howard Liu, MD MBA)1547554668.0
@TheEllenShow @Sarah_Hyland Strength. Admirable. Worthy example of pushing through.🙌🏾— Dream Jordan, YA Author•DMs🚫 (@Dream Jordan, YA Author•DMs🚫)1547228170.0
Thank you for your bravery, Sarah! We wish you health and happiness.