Lovato revealed that she was sexually assaulted the night of her overdose. "What people don't realise about that night for me is that I didn't just overdose, I also was taken advantage of," Lovato stated. The singer alleged that her drug dealer "took advantage" and "violated" her after getting her high with the fentanyl-laced heroin he supplied her. "When they found me, I was naked, I was blue, I was literally left for dead after he took advantage of me," she said. "And when I woke up in the hospital, they asked if I had had consensual sex. And there was one flash that I had of him on top of me, I saw that flash and I said yes." It wasn't until a month later that Lovato realised she wasn't in "any state of mind to make a consensual decision." But the singer explained that kind of trauma "doesn't go away overnight and it doesn't go away in the first few months of rehab either."
Lovato relapsed after her 2018 overdose. Lovato revealed that her overdose wasn't the last time she took heroin. She relapsed after her overdose, calling the drug dealer from that night because she wanted to "rewrite his choice of violating" her. "I wanted it now to be my choice and he also had something that I wanted, which were drugs," she explained. "I called him back and I said, 'No, I'm going to f*ck you.' It didn't fix anything, it didn't take anything away. It just made me feel worse, but that, for some reason, was my way of taking the power back. All it did was bring me back to my knees begging God for help."