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On “madhouse”, Nessa speaks about mental health problems, getting made fun of and slut shamed. “madhouse” is the second single off of Nessa Barrett’s debut studio album "young forever". The song will also be featured as the eighth track on the album. Nessa announced the single officially on September 4, 2022. When Nessa announced the single, she said that this song means so much to her and she had never felt like this about a song ever.