Luke Combs opened up about his experience with OCD in a new interview. He said he recently had his “worst flare-up” in a few years. The singer experiences “Pure O” OCD which occurs as purely mental ruminations and doesn’t manifest physically.

“It held me back so many times in my life where you’re trying to accomplish something, you’re doing really great, and then you have a flare-up, and it just like ruins your whole life for six months,” said the singer. With time, Combs has learned how to manage disorder and aspires to help others.