The song is about real life struggles of someone who heavily depends on medications to cope with their mental health problem.
[Chorus]
Take pills for the shakes
For the aches, for the chill of it
I take pills for my health
For myself, so I can live with it
[Verse 1]
I'm pretty fucked up, but then again
Everybody is
I get a little choked up thinking 'bout
Where I'd be without it
[Pre-Chorus]
It’s not like I wanna, but I gotta (Take pills)
It’s not like I wanna, but I gotta
[Chorus]
Take pills for the shakes
For the aches, for the chill of it
I take pills for my health
For myself, so I can live with it
[Verse 2]
I'm checking myself 'cause I'm afraid
My body isn't real
I get a little weirded out thinkin' bout
The way my brain spills
[Pre-Chorus]
It’s not like I wanna, but I gotta (Take pills)
It’s not like I wanna, but I gotta
[Chorus]
Take pills for the shakes
For the aches, for the chill of it
I take pills for my health
For myself, so I can live with it
[Bridge]
I get so numb, and I don't even know what's real
I feel so dumb that I need pills so I can feel
[Outro]
I'm pretty fucked up, but then again
Everybody is
I get a little choked up thinking 'bout
Where I'd be without it
Take pills for the shakes
For the aches, for the chill of it