The 29-year-old famously had a breakdown four years ago, which culminated in her shaving her head. But the launch of her seventh album Femme Fatal was supposed to signal a new chapter in the star's life.
However, according to a report in The Sun claims that her fresh, new image is all an act and her inner circle is worried that she will let the mask slip.
A source told the newspaper, 'She's very fragile. Up until a few months ago she was still heavily medicated and popping up to ten pills a day.
'It's like she has to be wheeled from one place to another. She can't be trusted to do anything on her own. Whether she is performing or recording it's the same. Sometimes she's like a zombie. Her mood swings are unreal too. It is four years since she famously cut off all her hair and hit rock bottom.
'But as recently as last year she was still pulling the same stunt - hacking her hair off with scissors when she wanted attention from her staff and loved ones at home.'
Talking about airbrushed photos of the star, the insider added, 'She has lost a lot of weight for her comeback but then releasing pictures like those take any deserved credit away because they are so far removed from what she really looks like.
'And it's not just the pictures - it's like they are airbrushing her whole life.'