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They can get that final tattoo that somehow gives them some peace with themselves. but for a lot, it's a never-ending process. and if they don't come to some self-realization or some self-peace, then they have to move on. and from tattooing, you go on to branding and from branding you go on to putting implants in your skull and in your skin, and then from there it can really start to escalate into uncontrollable body modification. >> in fact, meg is planning to take her modification further. today she is having a tattoo blacked over by her best friend, brooklyn tattoo artist joyra moore. >> i'...

Were just 13. fast forward five years, melissa's been in and out of rehab three times, is a high school drop-out and has been arrested. she told us she was well aware of her losing battle with pills, yet continued to abuse. >> i most certainly am an addict. hi, my name is melissa, i am an addict, i am an alcoholic. like i know that i am. i really do just make excuses. i need to clean my room but i have no ambition. i'll take an adderall, yep, my room needs to be cleaned. that's why i took it. that's why. just dumb excuses, dumb reasons, just telling myself it is okay. it is not okay. >> report...

After having that self-realization, what's next? >> honestly from here, i don't know where everything is going to go. but i want to try -- i want to try really hard to stop making excuses for why i do these things. because it's not getting me anywhere. >> reporter: then two hours later. after we finished our interview, melissa and sara were snorting add deral in their car. >> prescription pills suck. i'm currently high on them and it's not worth it. it's not worth it. >> reporter: even that wasn't her lowest. she would hit rock bottom in two days. you've been through a lot since we last spoke?...

Culture. she is promoting a brand, presenting a persona, which often is not genuine, honest, true to who she is. she doesn't know who she is. >> your own process of self-realization that happens in your adolescent years is stunted. you say a lot of it has to do with this overexpression, this oversharing that takes place. you are constantly connected and getting realtime feedback about how other people think about you. >> they are creating a mask. these girls may look fine and feel fine as long as things are going well. they are on the edge of a total meltdown. >> let's talk about a couple of o...