Demi Lovato has recalled how she felt a "responsibility" to go public with her health struggles as a young woman. During the latest episode of the Las Culturistas podcast on Wednesday, the Skyscraper singer opened up about their decision to speak out about past experiences with mental health issues, eating disorders, and substance abuse. Demi, who uses she/her and they/them pronouns, explained that she made the decision after choosing to enter a treatment programme when she was 18 after punching backup dancer Alex Welch in 2010 while on tour with the Jonas Brothers. "I had a decision that had to be made when I had gone to treatment for the first time," they told co-hosts Bowen Yang and Matt Rogers. "I had this very public outburst when I was 18... and in that moment, my manager at the time asked me, like, 'Do you want to be public with what you're going through, or do you want to sweep it under the rug and not talk about it?'" Despite support from the manager to do whatever she felt was best, Demi decided to be honest with fans. "I was like, 'I didn't have a role model at 13 that was speaking up about eating disorders, and I need to be that role model for someone else.' It was this responsibility that I was willing to take on because I wish that I could have had that growing up," the 33-year-old added. Demi is set to release her ninth studio album, It's Not That Deep, on Friday.