Just because comedians are laughing on stage doesn’t mean they are smiling behind the curtain.

In Laughing Matters, a new 30-minute documentary, 12 comedians speak candidly about their mental health struggles, showing that there are often dark lows lurking beneath the highs of comedic performance.

To help start the conversation, Sarah Silverman, 48, opens up about her battle with depression.

“All of us learn a skill set inherently as children that gets us through childhood,” says Sarah Silverman. “One hundred percent of comedians become comedians because somewhere in their childhood they needed to be funny in order to survive.”

Silverman reveals that she was put on Xanax to help with anxiety and depression when she was 13 years old.

“They just upped the dose … until I was taking four Xanax four times a day,” she shares.

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