Justin Bieber went to his usual Wednesday night LA church service alone and appeared to be very distraught when leaving. Paparazzi photographed him being comforted by friends on his way to his car.

While it’s not clear what the exact cause was—only Bieber knows that for sure—some have speculated it may be due to news of his ex Selena Gomez’s hospitalization.

TMZ, which broke the news, published its report at 5:59 p.m. Bieber’s church service starts at 8 p.m. there. Bieber may have found out before, during, or just as service ended there…or maybe he was upset about something completely different.

Bieber and Gomez, who dated last fall, would often go to that Wednesday night church service together. Bieber still attends and went last week with Hailey Baldwin, his new wife.

A source told PEOPLE, “She has had a tough few weeks and the panic attack in the hospital was the tipping point.”

“She realized she needed to seek additional help for her ongoing emotional issues,” the source continued. “She’s surrounded by close family and has a lot of support. She’s doing better now and is seeking treatment on the East Coast.”

In July, after Bieber popped the question to Baldwin four months after splitting with Gomez, a source exclusively told PEOPLE that Bieber and Gomez’s relationship, which kicked off when the pair first went public in 2011, had fully fizzled.

“They haven’t spoken in months. She hasn’t been talking about him since they ended things again earlier this year,” the source said. “It was never a healthy situation for Selena and Justin.”

A Bieber insider said, “Their relationship was always very complex and complicated. It was just too much baggage.”

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