Demi Lovato Explains Why She Cut Herself

'There were times I felt so anxious, almost like I was crawling out of my skin,' she tells Self magazine.

A blond-haired and fresh-faced Demi Lovato appears on the August cover of Self magazine, and she's opening up about her history with cutting in an interview with the health magazine.

"There were times I felt so anxious, almost like I was crawling out of my skin — that if I didn't do something physical to match the way I felt inside, I would explode," she explained about her issues prior to entering a treatment center in late 2010. "I cut myself to take my mind off that. I just didn't care what happened. I had no fear."

Since leaving that center in early 2011, she has gotten her career back on track. She released the album [article id="1680470"]Unbroken[/article] later that year, is currently out on an [article id="1688267"]extensive summer tour[/article] and just wrapped up a round of auditions as a judge on [article id="1685141"]"The X Factor."[/article] She's also set to [article id="1689231"]host the Teen Choice Awards[/article] on July 22.

But her life isn't just about work. "I make time for myself and meditate," she said. "And I haven't used my cell in three months!

Subconsciously, it was a crutch. When a room gets quiet, what do you do? Grab your phone! Now I can sit and have conversations with people."

These days, the 19-year-old explained to the magazine, she is in a much happier place. "You can choose to work toward happiness or not," she said. "I used to expect it to come to me, but it takes more than seeing a therapist once a week.

"I've spent the past two years getting over an eating disorder and issues like self-harming and bipolar disorder. Unlike a person who doesn't have these problems, I have to work on this stuff every day,"

she added. "I'm reminded of that whenever I eat or feel down."

Lovato opened up about her personal issues with MTV earlier this year for the documentary [article id="1680498"]"Stay Strong."[/article] She shared in the special that her fans helped her deal with issues like cutting. "Every time someone asks me for a picture or an autograph, even if I'm having a bad day and I'm in a bad mood, I remember, 'You're nothing without this person,' " she explained. "They make it special."