Billy Ray Cyrus has faced ups and downs throughout his career in the spotlight. Cyrus, complete with his signature mullet, rose to fame in 1992 with the release of his chart-topping Grammy-nominated single “Achy Breaky Heart.” He’s since released 16 studio albums and been nominated for seven Grammy Awards.

The Metro Station guitarist issued a public plea to the “Achy Breaky Heart” singer to seek help, saying he does not appear “healthy.”