Mental health issues can manifest in various ways, and while self-expression through tattoos, piercings, and unconventional hair colors is often a personal or cultural choice, research suggests that these forms of body modification can sometimes correlate with underlying psychological factors. It is important to approach these indicators with an open mind, recognizing that correlation does not imply causation. Here are ten potential signs that someone might be experiencing mental health struggles, incorporating both traditional psychological indicators and certain aspects of self-expression.

1. Drastic Changes in Appearance

Sudden and extreme alterations in physical appearance, such as shaving one’s head impulsively, undergoing numerous body modifications within a short period, or radically changing hair color repeatedly, can sometimes indicate emotional distress, identity crises, or impulsive behavior linked to conditions like borderline personality disorder (BPD) or bipolar disorder.

2. Excessive Tattooing and Piercings as Emotional Coping Mechanisms

While tattoos and piercings are widely accepted as forms of self-expression, some individuals use body modifications as a way to cope with emotional pain, trauma, or self-harm tendencies. Studies suggest that individuals with a history of self-harm may be more likely to engage in frequent body modifications as an alternative outlet.

3. Unconventional Hair Colors and Mental Health Links

Vibrant hair colors like blue, green, or purple are often a form of artistic expression, but research suggests that individuals with depression or identity struggles may be drawn to bold, non-traditional colors as a way to reclaim control over their identity. However, this should not ALWAYS be seen as a standalone indicator of mental illness, only an indicator.

4. Social Withdrawal or Isolation

Avoiding friends, family, or social interactions can be a major red flag for mental health struggles, especially in cases of depression or anxiety disorders. A person who was once socially active but suddenly prefers to be alone may be experiencing emotional distress.

5. Extreme Mood Swings

Frequent and intense emotional shifts, ranging from euphoria to deep sadness, may indicate bipolar disorder, severe anxiety, or emotional dysregulation. If a person’s mood changes drastically without clear external reasons, it may be worth considering underlying mental health concerns.

6. Engaging in Risky or Impulsive Behavior

Impulsivity, such as making sudden drastic changes to one’s body, engaging in reckless spending, or risky sexual behavior, can be a symptom of various mental health conditions, including bipolar disorder or attention-deficit/hyperactivity disorder (ADHD).

7. Self-Harm or History of Self-Destructive Behavior

Scars, fresh wounds, or an excessive number of tattoos covering self-harm scars might indicate underlying emotional distress. While tattooing can be a way to reclaim one’s body and past trauma, it can also serve as a continuation of self-inflicted pain.

8. Persistent Feelings of Hopelessness or Worthlessness

Statements like “I don’t matter” or “Nothing ever gets better” can be strong indicators of depression. Individuals experiencing these emotions may seek ways to externalize their inner pain, including drastic changes to their appearance.

9. Unusual or Disorganized Thought Patterns

Disorganized thinking, paranoia, or excessive suspicion may be signs of schizophrenia or severe anxiety disorders. If someone frequently expresses irrational fears or struggles to maintain a coherent conversation, they may be dealing with underlying psychological distress.

10. Sudden Loss of Interest in Hobbies or Passions

If a person who once enjoyed creative outlets, social activities, or personal projects suddenly loses interest in them, it could be a sign of depression or emotional burnout. This shift in behavior may accompany changes in self-presentation as well.

Final Thoughts

While certain choices in self-expression, such as tattoos, piercings, and vibrant hair colors, may correlate with mental health factors, they are not always definitive signs of mental illness. It is essential to approach individuals with empathy and without stigma. If you suspect that someone is struggling with their mental health, the best course of action is to offer support, listen without judgment, and encourage professional help when needed.