Oh wow, what an impressive layout, Chris. I can feel all the emotions. I love all the layers and all the paint and details. What a fantastic take on the challenge.
I'm sorry you struggle with this. My SIL has the same and I know it can be sooo hard and frustrating (and painful!) Your page, though, is fantastic! Love the taped up, burnt poster holding your elements and journaling. Also the grungy look is perfect for this kind of page. Just awesome all over!
Oh, Chris! Your layout is so powerful and really expresses what it means to deal with this condition. I am so sorry that you have to go through this and all of the side effects because of it. Your layout is amazing and truly expresses what you are dealing with both physically and emotionally. ((((Hugs))))