Avril Lavigne had her 34th on Thursday and whilst that kind of thing would usually go unnoticed, she celebrated in an amazing way.

For the first time in five years, the singer-songwriter released a brand new music video for her latest single, Head Above Water.

In the song, Lavigne is candid about her struggle with Lyme disease, singing “I gotta keep the calm before the storm […] I don’t want less, I don’t want more.”

Lavigne co-wrote the song, and explained to ET that the process began at a very difficult time for her, when she thought she was dying:

One night, I thought I was dying, and I had accepted that I was going to die,” she recalled. “My mom laid with me in bed and held me. I felt like I was drowning. Under my breath, I prayed ‘God, please help to keep my head above the water.’

In that moment, the songwriting of this album began. It was like I tapped into something. It was a very spiritual experience. Lyrics flooded through me from that point on.”

It’s a beautiful video, directed by Elliott Lester and filmed in Iceland and Los Angeles.

Lyme disease is a bacterial infection that can be spread to humans by infected ticks and affects people worldwide. Avril Lavigne launched the The Avril Lavigne Foundation, which aids people with the disease, as well as other serious illnesses and disabilities.

A few months ago, in April, Lavigne teased new music to ET, saying on the red carpet:

I’m feeling a lot better … I’m making a record right now. I have my life back which is amazing. It’s something I continue to work at every day. And just, like, grateful to be making music. I’ve written a really powerful record, really emotional album sort of reflecting where I am today. I’m going to release that this year. I’m actually going to be done in two weeks.

It’s great to have her back on the scene.

H/T: ET

Images via Getty, YouTube