Selena Gomez My Mind & Me: What illness does the star have, and how has it affected her?

She lives with with significant mental and physical illness

Actress and Singer Selena Gomez
(Image credit: Apple TV)

Selena Gomez is battling some complex and debilitating health issues, which are covered in the new Apple TV+ documentary about the star

As the Selena Gomez My Mind & Me release date (opens in new tab) is here, those watching the frank documentary might be surprised to learn the extent of the star's chronic illness. Gomez has suffered a tumultuous six years, beginning with a tour cut short in 2015 when she was admitted to a mental health facility. The film deals with her fear at the perceived gravity of her diagnoses, and how she comes to understand and learn more about herself and the illnesses that change and redefine her. Here, we discuss exactly which conditions the actress and singer suffers from, and the life-changing ways they've affected her. 

For more interesting documentaries, the Hilary Clinton (opens in new tab) series Gutsy sees her and daughter Chelsea go on adventures with some of the world's boldest and strongest women. Football fans are eager for the release of inspirational documentary Save Our Squad (opens in new tab). The David Beckham led show follows a team of young grassroots footballers struggling to stay in the league. For more football documentary fun, Welcome To Wrexham delves into Hollywood actors Ryan Reynolds and Rob McElhenney buying Wrexham football club (opens in new tab) in north Wales.   

What illness does Selena Gomez have?

Selena Gomez suffers from lupus, an autoimmune disease that causes the body’s immune system to attack its own tissues and organs. She was diagnosed in 2014.

Inflammation caused by lupus can affect a multitude of bodily systems, including joints, skin, kidneys, blood cells, brain, heart and lungs. According to the Mayo Clinic (opens in new tab), lupus can be very difficult to diagnose because the signs and symptoms often mimic other ailments. The most common sign of the illness is a facial rash across the cheeks that resembles butterfly wings. Some people are born with a predisposition to developing lupus, which can be triggered by infection, certain drugs, and occasionally, sunlight. No cure for the autoimmune disease exists, but treatments are available to control some of the symptoms. 

Diagnosis is so difficult because no two cases of lupus are ever the same. Symptoms may come on rapidly, or onset might be very slow. Some symptoms can be mild and temporary, while others severe and permanent. Most sufferers experience mild disease, characterised by episodes - or flare ups of the disease. During a flare up, signs and symptoms worsen temporarily before improving, or even disappearing for a time. 

Actress and singer Selena Gomez

(Image credit: Apple TV)

What caused Selena Gomez to have a kidney transplant?

Selena Gomez suffered from lupus nephritis, one of the most serious complications of lupus. She received the transplant in 2017 from her friend Francia Raisa.

According to the Lupus Foundation of America (opens in new tab), this complication occurs when the immune system mistakenly attacks the kidneys, causing inflammation and possible damage to the organ. Lupus nephritis inflammation can harm the overall renal system, preventing the ability to properly remove waste products from the blood, maintain correct levels of body fluids, and can dysregulate hormone levels that control blood pressure. 

Lupus nephritis most often develops within five years of lupus symptoms appearing, with symptoms including weight gain, swelling, frequent urination - especially at night - blood and foam appearing in urine, and high blood pressure. However, in the early stages of lupus nephritis developing, symptoms can go unnoticed. If left untreated symptoms will worsen, and lead to kidney failure. A serious kidney complication such as kidney failure requires either dialysis or a kidney transplant.

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At the time of the transplant, Gomez shared a picture of herself and friend Francia Raisa in hospital recovering from their procedures. She wrote “I’m very aware some of my fans had noticed I was laying low for part of the summer and questioning why I wasn’t promoting my new music, which I was extremely proud of. So I found out I needed to get a kidney transplant due to my Lupus and was recovering. It was what I needed to do for my overall health. I honestly look forward to sharing with you, soon my journey through these past several months as I have always wanted to do with you”.

She continued “Until then I want to publicly thank my family and incredible team of doctors for everything they have done for me prior to and post-surgery. And finally, there aren’t words to describe how I can possibly thank my beautiful friend Francia Raisa. She gave me the ultimate gift and sacrifice by donating her kidney to me. I am incredibly blessed. I love you so much sis. Lupus continues to be very misunderstood but progress is being made”.

Actress and singer Selena Gomez

(Image credit: Apple TV)

Selena Gomez chemotherapy

Selena Gomez underwent chemotherapy for her lupus in 2014, which can be used to treat autoimmune diseases like lupus and rheumatoid arthritis.

The star had a difficult time speaking about her treatment at the time, only revealing it a while after undergoing it. She took time away from the spotlight during treatment, and was worried that her symptoms at the time could have caused a stroke. Speaking to Billboard (opens in new tab), she said “I was diagnosed with lupus, and I’ve been through chemotherapy. That’s what my break was really about. I could’ve had a stroke”. 

She added “I wanted so badly to say, ‘You guys have no idea. I’m in chemotherapy’. I locked myself away until I was confident and comfortable again.” Not everyone with lupus will require chemotherapy, but some with serious symptoms such as Gomez’s will be prescribed the treatment. Similarly, strokes are also rare with the condition, but very high blood pressure can sometimes result in them occurring.

Actress and singer Selena Gomez

(Image credit: Apple TV)

Does Selena Gomez have cancer?

No, Selena Gomez doesn’t have, and has never been diagnosed with cancer. Fans thought she might’ve had cancer when she revealed she had been through chemotherapy, but the treatment was purely to treat her lupus symptoms.

According to Medical News Today (opens in new tab), chemotherapy drugs are the mainstay of cancer treatment, but do weaken and suppress the immune system. However, as suppressing the immune system is important to the treatment of lupus, chemotherapy is a licenced treatment that prevents an overactive immune system attacking healthy body cells and tissues. 

As a treatment for cancer, such medications slow or stop the growth of cancer cells but don’t specifically target cancer cells. Instead, they target rapidly dividing cells, including immune system white blood cells. By interfering with immune cell function, chemotherapy can calm the autoimmune reactions and reduce inflammation caused by lupus.

Is Selena Gomez bipolar?

Yes, Selena Gomez revealed in 2020 that she’d been diagnosed with bipolar disorder, after checking into a mental health facility. 

She said at the time on a TikTok clip, “When I first got out, I didn’t know how I’d cope with my diagnosis. What if it happened again? What if the next time, I couldn’t come back? I needed to keep learning about it. I needed to take it day by day”. 

According to Rolling Stone (opens in new tab), she then discussed the condition in depth during an Instagram live with Miley Cyrus. She said “Recently, I went to one of the best mental hospitals in America, McLean Hospital, and I discussed that after years of going through a lot of different things, I realized that I was bipolar. And so when I got to know more information, it actually helps me. It doesn’t scare me once I know it”.

She continued “I’ve been writing a lot. I think that that’s been helping me process what’s been going on. A lot of it is connecting with people that maybe you haven’t been the greatest to that you may not have thought about. I feel like there’s been a lot of people I’ve gotten to do that with not necessarily saying it was bad, but just saying, ‘Hey, I hope you’re safe. I hope you’re doing okay,’ and that you know you’re on my side. I’m only sending you love from this end”.

Billboard advertising Selena Gomez documentary My Mind & Me

(Image credit: Barry King/Alamy)

Bipolar disorder symptoms

Bipolar disorder is characterised by extreme mood swings, ranging from extreme highs known as mania, to extreme lows manifesting as depression.

Episodes of mania and depression can last for several weeks or months, and according to the NHS (opens in new tab), depressive symptoms include:

  • feeling sad, hopeless or irritable most of the time
  • lacking energy
  • difficulty concentrating and remembering things
  • loss of interest in everyday activities
  • feelings of emptiness or worthlessness
  • feelings of guilt and despair
  • feeling pessimistic about everything
  • self-doubt
  • being delusional, having hallucinations and disturbed or illogical thinking
  • lack of appetite
  • difficulty sleeping
  • waking up early
  • suicidal thoughts

Symptoms of mania include:

  • feeling very happy, elated or overjoyed
  • talking very quickly
  • feeling full of energy
  • feeling self-important
  • feeling full of great new ideas and having important plans
  • being easily distracted
  • being easily irritated or agitated
  • being delusional, having hallucinations and disturbed or illogical thinking
  • not feeling like sleeping
  • not eating
  • doing things that often have disastrous consequences – such as spending large sums of money on expensive and sometimes unaffordable items
  • making decisions or saying things that are out of character and that others see as being risky or harmful

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