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Julia Emmanuele
September 14, 2017 AT 08:46 AM EDT

Selena Gomez got personal on Instagram Thursday, revealing that she received a kidney transplant over the summer.

“It was what I needed to do for my overall health,” wrote Gomez, who explained that the transplant was related to her ongoing battle with Lupus. “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.”

The 25-year-old’s post is far from the first time she has opened up to fans. From body-shaming to Justin Bieber to growing up in the spotlight and her struggles with Lupus, these are all the times Gomez shared her truth.

“I’m surrounded by people who are supposed to guide me, and some of them have and others haven’t. They pressure me. There’s so much pressure. You’ve gotta be sexy, you’ve gotta be cute, you’ve gotta be nice, you’ve gotta be all these things … They tell me what to wear, how to look, what I should say, how I should be.

Until recently, I had given into that pressure. I lost sight of who I was. I listened to opinions of people, and I tried to change who I am. Because I thought others would accept me for it. And I realized I don’t know how to be anything but myself.”
— in a speech at WE Day California in 2014

“People piss me off so much. I’m half Mexican. I’ve got the fire in me for sure.”
— on her previous record executive trying to keep her in a box, to Elle in September 2015

“I’ll forever support [Justin Bieber] and love him in a way that … We grew up together. I think people want it to be different. We’re too young for that. Nobody was married. There was no … I respect him. And I think he respects me, in a healthy manner.”
— to Elle

“I’m growing up. I’m not saying, ‘This is it: I’ve got life figured out, everybody.’ I’m going to fall on my face continuously. But I’m excited to have this sense of control of my life.”
— on the message behind Revival, to Elle

“I’m so f—ing nice to everybody, and everyone is so vile to me. I’ve been working since I was 7. I’ve been a UNICEF ambassador since I was 17. It’s so disappointing that I’ve become a tabloid story. It took away everything I loved about this business.”
— on the constant negative gossip, to Billboard in October 2015

“No. This is my time. I’ve deserved this. I earned it. This is all me.”
— on whether she took any inspiration from Bieber’s career reinvention for Revival, to Billboard

“I hated the quiet moments. I feel like I could’ve lived with my parents forever.”
— on why she lived with roommates after moving out of her mother and stepfather’s house in 2014

“I wanted so badly to say, ‘You guys have no idea. I’m in chemotherapy. You’re a–holes.’ But I was angry I even felt the need to say that. It’s awful walking into a restaurant and having the whole room look at you, knowing what they’re saying. I locked myself away until I was confident and comfortable again.”
— on the rumors about being in rehab when she was actually undergoing treatment for lupus

“I felt like I’d lost everything. Just because it’s not plastered everywhere doesn’t mean I didn’t have my rock bottom. I’ve had my moments, and it’s almost unsafe for me to even talk about them, because I’ll be taken advantage of.”
— to Billboard

“I was in a bikini and got publicly ripped for being overweight. That was the first time I’d experienced body-shaming like that. I believed some of the words they were saying.”
— on being body-shamed by the media during a trip to Mexico in 2015

“I think people really wanted to see me fail. I’d sit down in an interview and get the most harshly asked questions. Of course I got my heart broken. Of course I was pissed about it. There, everybody has it. I was so disappointed, because I never wanted my career to be a tabloid story.”
— on the tabloid response to her breakup with Bieber, to Refinery29 in October 2015

Kevin Mazur/WireImage

 

“People have seen most of the choices that I’ve made in my life. And I love every choice that I’ve made. Because now I understand how to apply that to my music. This is who I am. I’m glad my life was never perfect.”
— on how her music reflects the ups and downs of her life, to Rolling Stone in January 2016

“Once Disney was over, I was like, ‘Oh, s—.’ I didn’t know what I wanted to be. I had to learn to be myself.”
— to W, in February 2016

“I’m so exhausted. I honestly am so done. I care about his health and well-being. But I can’t do it anymore.”
— on talking about Bieber

“It’s either of two extremes. Either you’re going to succumb to it and be surrounded by all the noise and enjoy it and get the rush from it, or you’re going to be so far off of it because you don’t trust anyone or think any of it’s genuine. That’s the girl that I am.”
— on the way she views fame, to GQ in April 2016

“First off, this is something that everyone always wants to fixate on. I got diagnosed with lupus. My mom had a very public miscarriage. So I had to cancel my tour. I needed time to just be okay … It’s really frustrating, because I am 100 percent allowed to have that, but I think people just want to have some sort of — I understand what you’re asking, but I’m just saying, I don’t think it really matters.”
— on why she doesn’t want to address the rehab rumors anymore, to GQ

“There was this kid that wouldn’t look me in the eye at all. And I wear my emotions on my face, as you just have witnessed. And I don’t care, that’s who I am. I wanted to get his attention, even though maybe it was too much. So I just said, ‘Ask me anything you want.’ And he was the first person that I told, besides my best friend and family, because he asked me, ‘Have you ever dealt with anything like this?’

And I said, ‘I have lupus. I was in the ICU for two and a half weeks. I was in this exact same room.’ And it was the first time that he looked at me.”
— revealing that the first stranger she told about being diagnosed with lupus was a patient that she was visiting at a children’s hospital, to GQ

“I don’t ever really like to sit and dwell on what that experience was. Was it fun? No. Is it fun to have it? No.”
— on getting treated for lupus, to GQ

“We’re easy targets. Every single kid who was brought up like this is an easy target. It’s disgusting, because it’s interesting to grown adults that these kids go through weird things because they’re figuring out, ‘Do I like this? Do I love this? Maybe I love this person. Oh, I’m exposed to this, people are reporting my every move and this and that because of Instagram and Twitter, and you can find out everything.'”
— on the effects of growing up in the spotlight

“Because it’s, I don’t know, fun, maybe? It’s like watching a car crash as you’re driving past it. You want to watch it.”
— on why people root for child stars to go off the rails as they grow up

“I think it’s safe to say that most of you know a lot of my life, whether I like it or not. I had to stop, ’cause I had everything and I was absolutely broken inside. I kept it all together enough to where I would never let you down, but I kept it too much together to where I let myself down.”
— tearfully accepting the 2016 American Music Award for Favorite Female Artist – Pop/Rock after taking a break from the spotlight

“People so badly wanted me to be authentic, and when that happened, finally, it was a huge release. I’m not different from what I put out there. I’ve been very vulnerable with my fans, and sometimes I say things I shouldn’t. But I have to be honest with them. I feel that’s a huge part of why I’m where I am.”
—to Vogue in March 2017

“Tours are a really lonely place for me. My self-esteem was shot. I was depressed, anxious. I started to have panic attacks right before getting onstage, or right after leaving the stage. Basically I felt I wasn’t good enough, wasn’t capable. I felt I wasn’t giving my fans anything, and they could see it — which, I think, was a complete distortion.”

“I was so used to performing for kids. At concerts I used to make the entire crowd raise up their pinkies and make a pinky promise never to allow anybody to make them feel that they weren’t good enough. Suddenly I have kids smoking and drinking at my shows, people in their 20s, 30s, and I’m looking into their eyes, and I don’t know what to say. I couldn’t say, ‘Everybody, let’s pinky-promise that you’re beautiful!’ It doesn’t work that way, and I know it because I’m dealing with the same s— they’re dealing with.”

What I wanted to say is that life is so stressful, and I get the desire to just escape it. But I wasn’t figuring my own stuff out, so I felt I had no wisdom to share. And so maybe I thought everybody out there was thinking, This is a waste of time.”
— on what pushed her to cancel her tour and enter treatment for depression and anxiety

“You have no idea how incredible it felt to just be with six girls, real people who couldn’t give two s—s about who I was, who were fighting for their lives. It was one of the hardest things I’ve done, but it was the best thing I’ve done.”
— on undergoing treatment in Tennessee

“My mom gave up her whole life for me. Where we’re from, you don’t really leave. So when I started gaining all this success, there was a guilt that came with it. I thought, Do I deserve this?”
— on becoming so famous at such a young age

“I wish more people would talk about therapy. We girls, we’re taught to be almost too resilient, to be strong and sexy and cool and laid-back, the girl who’s down. We also need to feel allowed to fall apart.”
— on the decision to be open about her mental health struggles

“Look, I love what I do, and I’m aware of how lucky I am, but — how can I say this without sounding weird? I just really can’t wait for people to forget about me.”
— on struggling with balancing her private nature with being a celebrity

Morning walks

A post shared by Selena Gomez (@selenagomez) on

“Everything I cared about, I stopped caring about. I came out, and it felt like, ‘OK, I can only go forward.’ And there are still days. I go to therapy. I believe in that and talking about where you are. But I’m in a really, really healthy place.

I was in the countryside and never did my hair; I took part in equine therapy, which is so beautiful. And it was hard, obviously. But I knew what my heart was saying, and I thought, ‘OK, I think this has helped me become stronger for other people.'”
— opening up about her time in treatment in Tennessee, to InStyle in July 2017

A post shared by Selena Gomez (@selenagomez) on

“That’s what I work on in therapy the most. Because of social media, because of all the pressure that girls have, it’s so difficult. It’s good to be connected, to see things, and to get a sense of what your friends are up to. But it also allows people to think they need to look or be a certain way.

I remember when I had my Disney show, I was just running around and not caring and making kids laugh. I was all over the place. And now it feels more zoomed-in — you have ugly people trying to get negative things from you, and the energy makes you feel bad about yourself. You can’t help it. It’s very hard to find out who you are during all that mess and pressure.”
— on battling insecurity as a result of her social media presence

“I had a choice to let it drive me crazy and tear me down or just allow myself to have real conversations with people. So I came to a place where it’s like, I have this platform, and I can still do what I love and connect to people who feel like they grew up with me. I won’t share things that I don’t want to.”
— on deciding to be open and honest about her struggles

Taylor Hill/FilmMagic

“I don’t depend on one area of my life to make me happy. It’s really important for me to love and nourish my friends and family and to make sure that I never get influenced by a guy. I’ve wanted to be in a strong headspace for years, and I really wasn’t. Before, I was so young and easily influenced, and I’d feel insecure. You want someone to add to your life, not to complete you, if that makes sense. I’m lucky because he’s more of a best friend than anything else.”
— on her relationship with The Weeknd

“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.” — on her kidney transplant in summer 2017

A version of this story originally appeared on PEOPLE.com.

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