It is easy to assume that James Middleton has everything: he runs his business, comes from a wealthy economy and his sister is the Duchess of Cambridge.
But even the most privileged of us are not immune to the overwhelming burden of mental illness, and James opened his own struggles with depression in an editorial for Daily Mail UK .
In the piece Middleton describes the years when he suffered silence, explaining that he could not communicate with his closest friends and family regarding his illness.
"It is difficult to describe the condition," he wrote, "It is not just sadness, it is a disease, a cancer of the mind."
Middleton discovered that his mental health deteriorated rapidly in the course of 2017 , spending his days overwhelmed by depression.
"It's not a feeling but an absence of feelings, it exists without purpose or direction," he explained.
This was exacerbated by his Attention Deficit Disorder, which made it almost impossible for Middleton to focus on anything but his depression.
He made the daily activities huge, an even greater tribute to Middleton's already weakened state of mind.
He writes that although he never thought of suicide, something that makes many sufferers of depression, he knew he could not continue living in the state he was in.
"I would not want the sense of uselessness and despair, the isolation and the loneliness of my worst enemy." I felt like I was going crazy. "
So, in December 2017, he decided he had to escape, driving to the Lake District in England with his dogs looking for company to escape from everything.
simply as he has dealt with his condition and eventually decided to get help, a decision that would initiate his slow but significant recovery.
"I knew that if I accepted help there would be hope, it was a little spark of light in the dark."
Middleton explains that he hopes his story can help remove the stigma surrounding mental illness, something to which his real sister Kate Middleton is dedicated through the project Heads Together that she manages with Prince William, Prince Harry and Meghan Markle.  She is now on the road to recovery, is regularly on therapy and undergoes cognitive behavioral therapy, as well as taking medication to help manage her condition.
"Today – as difficult as this is to admit – I am happy to have gone through debilitating depression because I now have the skills to fight it," he wrote.
"If I could leave you with one thought, it would be this:" It's OK to not be OK. "