Selena Gomez struggles with mental health issues and the ripple effect that comes along with it continues. Reports is saying she was hospitalized twice within the past couple of weeks after experiencing a mental breakdown, according to TMZ. Sources said the 26-year-old artist was admitted to Cedars-Sinai Medical Center in the last week of September, when it was discovered her white blood cell count was severely low due to her kidney transplant. She was released from the hospital several days later, but was re-admitted shortly after because her blood cell count didn’t improve.

Gomez reportedly “freaked out” after learning about her condition and attempted to rip an IV out of her arm. Insiders described the episode an “emotional breakdown.” She’s said to be at an East Coast psychiatric facility, where she is receiving dialectical behavior therapy.