Lady Gaga says her experiments with fashion help her "deal with my insanity".
The singer, who is renowned for her over-the-top outfits, has told Graham Norton's BBC talk show that clothes keep her mentally on track.
"It's how I deal with my insanity," she said.
"From when I was young I had voices in my head and for the longest time I was drinking and doing a lot of drugs and it was the clothing and the artistry that saved me.
"I get sheer joy out of creativity. It's like a psychedelic experience for me."