Lyric discussion by sistergrenadine 

Cover art for January Wedding lyrics by Avett Brothers, The

I've seen a few biographies on Audrey Hepburn, and it's a fairly well known fact that she suffered from anorexia.

Several other Avett songs mention a girl with self-esteem issues.

"I wish you'd see yourself as beautiful as I see you, why can't you see yourself as beautiful as I see you?" is just one example.

Anyhow, that's what I've always gotten out of it. "The Mean Reds," is another good take on it though!