Kanye West got super candid about struggling with bipolar disorder in his interview on My Next Guest Needs No Introduction With David Letterman.

As we previously reported, Kanye has publicly grappled with mental health issues. Now, he’s explaining to David what happens when he goes on and off his medication.

“If you don’t take medication every day to keep you at a certain state, you have a potential to ramp up and it can take you to a point where you can even end up in the hospital,” he said in the interview, according to Entertainment Weekly. “And you start acting erratic, as TMZ would put it.”

Of course, he’s referencing the headline-making moment when TMZ interviewed Kanye last year, during which he claimed slavery was a “choice” for black people. Furthermore, Kanye also told David he became addicted to opioids after undergoing liposuction. (His wife, Kim Kardashian, would later admit that his public meltdown took a toll on their marriage.)

“When you ramp up, it expresses your personality more. You can become almost more adolescent in your expression,” he explained. “This is my specific experience that I’ve had over the past two years because I’ve only been diagnosed for two years now.”

He explained that when he has an “episode” that lands him in the hospital — as he was in 2016 after having a meltdown onstage during one of his concerts — he often becomes paranoid.

“When you’re in this state, you’re hyper-paranoid about everything. Everyone — this is my experience, other people have different experiences — everyone now is an actor. Everything’s a conspiracy,” he shared. “You feel the government is putting chips in your head. You feel you’re being recorded. You feel all these things. You have this moment [when] you feel everyone wants to kill you. You pretty much don’t trust anyone.”

We don’t know about you… but we HAVE to watch this interview. The full interview starts streaming on Netflix on May 31.