He was the North Carolina boy who made it big on "American Idol."
But for Clay Aiken, fame came with a price.
"Clay, don't take this the wrong way, but I prefer you when I shut my eyes," said "Idol" judge Simon Cowell to Aiken after one performance.
It was one thing to smile through the brutal poison darts fired off by Cowell, but yet another to be Aiken this past year.
The tabloids took aim at everything from his sexual orientation to his mental equilibrium.
The late-night comedians launched a nonstop assault, making jokes that were initially funny to Aiken but eventually took their toll.
So this year, Aiken moved back home to Raleigh.
"I need to get out of Hollywood," he told Diane Sawyer on "Good Morning America."
Aiken, the geeky, skinny kid, who was bullied by his classmates, is no stranger to tough times.
He experienced the trauma of his sister's suicide and has worried about his brother, a Marine now fighting in Iraq.
"I always prided myself on the fact that I was able to handle this on my own, pray about it, talk to my family, talk to my friends, and just get through it, you know, being tough," Aiken said.
But eventually the fame and ferocity of public inspection started to take a physical toll when he walked into a public room.
He often felt like he was going to have a heart attack when he would make public appearances. So, Aiken decided to talk to his doctor.
"I said, 'Listen, here's the, here's the thing. I don't understand why I feel like I'm gonna have a heart attack when I go into these rooms. I don't get it," he said.
Aiken's doctor said that he was experiencing symptoms of panic attacks.
"When I am in the room, the walls are closing in on me and my heart races, and I didn't understand it," Aiken said. "I would look back and say, 'Why are your, why are your palms sweaty? What's the problem?'"
Aiken never had stage fright or nervousness when performing.
He tried a series of medications, but the one that worked was a drug for depression and anxiety, Paxil.
"I've probably been bullied on a far larger scale since I've done this ['American Idol']," he said.
Doctors say panic attacks are often complex and a bit mysterious. Aiken said he had his first panic attack when his stepfather, Ray Parker, died several years ago.
"Clayton had a really hard time with that," Aiken's mother, Faye Parker, said in 2003. "And [Aiken] was in emergency for about three hours before we could back to the room and get things settled. … He took that very hard."
Aiken was taken to the hospital after his first panic attack. His family told emergency-room doctors that he had a strained relationship with his stepfather.
"[The doctor] said, 'That's interesting,'" Aiken said. "He said, 'I could tell because a lot of times people who don't have a great relationship with, with the deceased, tend to take it harder.' I think that had a lot to do with regret. … I never got a chance to tell him that I loved him."
Aiken, who said he was not a fan of medicine, is not worried about getting addicted to Paxil, as he had been in the past about other anti-anxiety drugs.
"Some of these other things where I would, I would try something and then it would work and then the next time, I'd go back and OK, I think I need to take two," he said.
Despite the drug, he's not in therapy.