ARTIFICIAL HALLUCINATIONS: 
 
The “hole” is a thought vortex sucking the mind inward.
 
The looping scribbles across the face are intrusive cycles. 
 
This captures the feeling of a singular, dominating mental fixation overpowering the rest of one’s identity.
 
The rough, circular scarring effect is symbolic of mental wear, not physical deformity.
 
The swirling, tangled loops across the face resemble repetitive intrusive thoughts (obsessions).
 
The large, dominating void-shape reads like a mental black hole. A thought loop someone cannot escape.