I will point out that a lot of people with disabilities like that become pretty good at hiding it. There is this incredible lady at my barn who has chronic pain and a bunch of other stuff. She is out every day, takes meticulous care of her baby warmblood she just bought, does lessons and clinics at every opportunity while also observing the people she has working with her baby to help bring him along. You’d honestly never know there’s anything wrong, except occasionally when she thinks no one is looking you can see the pain or exhaustion a bit. And different people have different triggers. I’ve experienced enough of my own weird stuff that I never judge anyone that says they are going through something debilitating.
Of course there are those that fake it, but I’ll give people the benefit of the doubt that they just work hard to be “normal”. Not saying this lady is or isn’t faking it or not as bad as she has said, but I do have to point that out in honor of my incredible friend!