Lyric discussion by Drabswin 

I initially thought it was about autism when listening to it but, after reading the lyrics, I think it's about depression. I think he keeps "trying" but things aren't getting better and I think he may even have suicidal thoughts, which is the significance of "another day, another wake up" toward the end. Of course, another significance could be that his life feels repetitive and nothing's changing. I think the lyrics suggest that he has pushed everyone away, rejecting his parents support and ending various relationships. I think it does tie in with themes of alcoholism. I think he's looking for joy in a bar because he's trying to escape his depression through drinking. Dr John is presumably a therapist.

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