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Amanda Palmer – The Point of It All Lyrics 12 years ago
I think this song is about somebody who needs to turn their life around. It could be due to drugs but I don't think the meaning is exclusive to an addict. The best example of this metaphor is where she says:

"The patterns laid out on the bed
with dozens* of colors of thread
but you've got the needle
I guess that's the point of it all"

The pattern represents a plan of action.
the colors of thread represent several options for how to go about it.
But you've got the needle- which means that the resources are available but it's up to you to use them.

I think this is about somebody who is depressed and has lost direction in their life. Overall the message is that there are plenty of people who will tell you how to fix yourself and get back on your feet but in the end it all comes down to you. Brilliant.

* This information can be up to 15 minutes delayed.