This song is about Alex's anxiety problems. He's realizing that he's sinking and everything is falling apart because of his anxiety and is asking for someone to "pull him out" of it. The term 'somethings gotta give' means that after several similar events are happening, a different outcome is bound to happen sooner or later. So in a way, he's saying after struggling so many times with his anxiety, something good is going to happen at some point.
This song is about Alex's anxiety problems. He's realizing that he's sinking and everything is falling apart because of his anxiety and is asking for someone to "pull him out" of it. The term 'somethings gotta give' means that after several similar events are happening, a different outcome is bound to happen sooner or later. So in a way, he's saying after struggling so many times with his anxiety, something good is going to happen at some point.