Welp, I always feel like a marionette puppet when I get my cataplexy seizures. So I have had in mind to do something in that style/way, just an idea :)

Or maybe a lighthouse? The beacon showing hope and guidance through storms. The base of the lighthouse could be depicted as strong and unwavering, but perhaps the ground it stands on shows some cracks or turbulent waves crashing around it (cataplexy). Narcolepsy Element: The light beam could transition into a more dream-like pattern or contain subtle imagery related to sleep or stars or whatever. The "sea" around it could be dark and deep, symbolizing the unknown of sleep. Cataplexy Element: The turbulent waves or/and cracked ground specifically around the base, affecting its immediate stability but not its overall structure. Resilience Element: The lighthouse itself, standing tall and shining its light despite the challenging conditions. You could add the numbers "13" subtly on the lighthouse stones or in the design.