Lyric discussion by kmk_natasha 

Cover art for Five Steps lyrics by Davenports, The

I think it's about drug use, though much of that is based on its use as the theme for Intervention.

My Interpretation

It IS about drug use (according to The Davenports who wrote it). The 5 steps refer to the literal steps one does when shooting up-make "Veins swell", make sure the "Cut is deliberate", etc. Also, there's no one named Ellen. The second line is "You know me well enough to tell." Still a powerful song and 2012 Intervention is using Morgan Taylor Reid;s rendition which is slower and the lyrics easier to understand. Watch (or listen) on Youtube under Morgan Taylor Reid.