Lyric discussion by georgeparr 

Cover art for Better lyrics by Regina Spektor

this song is about her. its regina talking to her someone (friend, relative...etc) about her self doubts and not exactly knowing whats wrong or how to fix it, or if she even can. the blood ties being only blood is just a trust issue, the never saying your name out loud is being worried about failing and people know it was you (her) and being able to talk about it. and the last verse is obvious, shes getting sadder and doesnt know why... its clearly a song written about herself and her doubts and fears, its just written in a way so it seems like shes talking to someone else when in reality shes telling herself how she feels.

My Interpretation