Lyric discussion by Beau_Lolita 

Cover art for Mad Girl lyrics by Emilie Autumn

I seriously doubt this is the meaning Emilie Autumn would've had in mind when she wrote this song but for me I imagine it to be about a woman who has grown up to be truly unhappy and some may even say mentaly unstable because of something that happened/ that someone did to her when she was younger. Possibly linked to the meaning of "Gothic Lolita"? Maybe.