By Debbie Emery - Breaking Celebrity News Reporter

Disturbing photos showing worrying marks above her wrist have sparked concern that Miley Cyrus has been deliberately cutting herself, and now Breaking Celebrity News can exclusively reveal that it is a tell-tale sign that she could be in serious emotional trouble.

In the photos, taken July 12, Miley has four red marks on the inside of her left arm just above her wrist. However, when the teen sensation showed off her new tattoo earlier this week there were only three scars visible on her wrist.

"If Miley is self-cutting, it's a sign that she's in emotional trouble, dealing with feelings that are stronger than she can handle. It could also reflect an attempt to get attention from others," Los Angeles-based psychologist Dr. Seth Meyers, who has not treated the Hannah Montana star, told Breaking Celebrity News in an exclusive interview.

"The fact that Miley's career seems to have stalled may be partly responsible if she's resorting to self-injury," he added.

Dr. Meyers went on to explain that cutting is a behavior that is most often seen in teenage girls and young women, a dysfunctional attempt to cope with negative feelings.

"Self-cutters often cut themselves as an attempt to feel stimulated or wake themselves up emotionally because they feel empty or numb, or because they turn anger at others onto themselves instead, he told Breaking Celebrity News, adding: "Cutting is often seen in females who have Borderline Personality Disorder."