Simone Biles fought back tears on TODAY Thursday as she described her ongoing struggles with performing gymnastics routines in the wake of her bout with "the twisties" that caused her to withdraw from multiple events in the Tokyo Olympics this summer.
Biles is now back on the mat as the headliner of the Gold Over America Tour featuring an all-star cast of gymnasts, but she shared that she only does her signature move on the floor exercise and does not perform any midair twisting in the show.
"To do something that I’ve done forever and just not be able to do it because of everything I’ve gone through is really crazy because I love this sport so much," Biles said, growing emotional. "It’s hard. I’m sorry. And I don’t think people understand the magnitude of what I go through, but for so many years to go through everything that I’ve gone through having a front, I’m proud of myself."
Biles cited mental health issues that triggered “the twisties,” a disorientation in the air while she was competing, as the reason for her stunning withdrawal from multiple events in Tokyo after entering as a heavy favorite to win several gold medals.
Those issues have lingered beyond the Olympics.
“The twisting once I got back will come back, but I’m still scared to do gymnastics," she said.
Biles also now wants to help others facing mental health struggles after sharing hers with the world this summer at the Olympics.
The superstar gymnast announced exclusively on TODAY Thursday that she is working with the mental health and telemedicine app Cerebral as its chief impact officer and also has become an investor in the company.
She becomes the latest prominent Olympian to partner with a mental health app after superstar swimmer Michael Phelps, who has been open about his struggles with depression and announced a partnership with the online therapy company Talkspace in 2018.
The four-time Olympic gold medalist feared a backlash from her ordeal in Tokyo but instead received an outpouring of support from many for prioritizing her mental health. While she withdrew from all but one event, she came back and competed in the balance beam and took home a bronze medal.
Biles was asked on TODAY with Hoda & Jenna on Thursday if she would do anything differently if she could go back and have a do-over in Tokyo.
“I wouldn’t change anything for the world,” she said. “I think everything happens for a reason.”
She had another emotional experience shortly after the Olympics in September when she broke down in tears at a U.S. Senate Judiciary Committee hearing while speaking about the abuse that she and other former Team USA gymnasts suffered from former USA Gymnastics doctor Larry Nassar.
"To go through something like that and to be a voice for all of the survivors and people who want to come forward and talk about their stories, it’s really inspiring," Biles said. "But it’s hard that I have to go through it, because again people form their own opinions and I don’t really get to say what’s going on.”
The Gold Over America Tour featuring a cast of gymnasts that includes Biles' teammates Jordan Chiles, MyKayla Skinner, Jade Carey and Grace McCallum.
She also is practicing what she's preached by prioritizing her mental health while on tour by seeing a therapist every week, she said.