I have tattoos and piercings that I got because I wanted them but also mostly I was being very impulsive. I've gone through so many phases of appearances just in the last 10 years when all of my bipolarness happened. I think part of it for me is that if I look different on the outside it's my choice. Because having bipolar disorder is definitely not my choice and I can't get rid of it but I can dye and cut my hair or get tattoos or piercings and change how other see me that way.