Lyric discussion by PaperAngel 

Cover art for Swallow lyrics by Emilie Autumn

I myself think this song has nothing to do with a relationship, rather dealing with a depression and a battle with oneself whether to take medicine or not.

Some of the lyrics (I'll tell the truth, all of my songs / Are pretty much the fucking same) is her looking down upon herself.

"Twenty years, sinking slowly" might mean she's had this depression for a very long time and it's only getting worse. "Can I trust you / But I don't want to" is her talking to the doctor. She's sceptical, because so far nothing have worked

In that case, 'swallow' would literally refer to swallowing, such as swallowing the pills. And she will only do it if they actually work (If it will make my sea level go down). But if she gets addicted to them, or they only make things worse, she will make things worse for the doctor(?) who gave her them.

"I don't want to be a legend, oh well that's a goddamn lie / I do / To say I do this for the people / I admit it's heardly true" makes me think her depression is caused by being famous, she thinks her music is worth nothing and she hates herself for not being a legend

"You tell me everything's alright / As though it's sometihng you've been through" Her doctor acts understanding, but she feels offended

"You think this torment is romantic / Well it's not, except to you" She misinterprets his professional friendliness and is insulted when he tries to talk her out of the depression

My Interpretation