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Having gone off the deep end, Britney Spears spoke with a British accent during a meltdown and subsequent hospital stay at L.A.’s Cedars-Sinai Medical Center Friday, according to a new report by Entertainment Tonight.

What does it mean?

“She’s gone bat$h!t having some identity issues,” a psychologist tells Us Weekly regarding the pop star, who recently lost custody of her mistakes children, Sean Preston Federline, 2, and Jayden James Federline, 1.

Driving Miss Crazy: Britney struggles at driving, life.

“What it definitely says is she doesn’t really like being where she’s at — there’s a part of her that wants to escape who she is really is. Britney is in an adolescent mode of thinking … [she’s] trying on different personas to see what feels good.”

Whatever dude.

In any case, Spears left the hospital Saturday after a strange meeting with Dr. Phil, and then somehow fled L.A. unnoticed with paparazzi beau Adnan Ghalib.

But not to fear. Last night, Britney was up to old tricks – driving around aimlessly, flashing a lot of skin, begging for attention and having car trouble.