Lyric discussion by mochajas 

Rilo Kiley provides a number of clues that associate this song with bipolar disorder:

-"And the weight is crushing down on my lungs / I know I can’t breathe"

Something I haven't experienced (much), fortunately, but overwhelming, immobilizing paranoia and/or anxiety are associated with mixed-state bipolar episodes. Major depression can also feel like physical weight.

-"Hope that someone will save me this time" / "Swearing it's different this time"

With the repetition of “this time,” Rilo Kiley implies that the narrator has been in this position multiple times, suggesting a cycle of illness (and, later in the song, periodic rejuvenation). Major depression can be a single episode or it can recur, but a pattern of ups and downs is more consistent with bipolar disorder.

-"And you tell her to give in to the demons that possess her / And that God never blessed her insides"

Bipolar disorder has an even stronger reported genetic link than unipolar depression, with 2/3 of bipolar patients reporting a bipolar or depressed relative. Rilo Kiley suggests that, despite the mother’s denial, she too is inflicted with mental illness - "demons... possess her" and "God never blessed her insides." The word "insides" in particular evokes (mental) illness.

-"And sometimes when you're on, you're really f*cking on / And your friends, they sing along and they love you"

The expletive emphasizes that this is not ordinary cheerfulness or high energy (being “on”) – the narrator is in fact extremely energetic (“really f*cking on”), as well as exuberant, impulsive, and grandiose, all of which are symptoms of hypomania. The narrator “sings” – a stand-in for any fun, self-confident, spontaneous behavior – and her friends not only follow along but also “love” her. The narrator clearly feels self-possessed and the center of attention.

Arguably, we all have moments when we feel this way – being a little out of control isn’t pathological – but Rilo Kiley demonstrates a precise knowledge of the symptoms of hypomania, implying all of them within these two lines.

-“ But the lows are so extreme / That the good seems f*cking cheap / And it teases you for weeks in its absence”

Again Rilo Kiley has an uncanny awareness of how bipolar cycles function. Transitory hypomania precedes and induces “weeks” of depression. Both bipolar I and bipolar II patients experience much longer periods of depression than hypomania, something like 20:1 depression to hypomania in bipolar II disorder.

The expletive functions here, as above, to emphasize that these are not ordinary ups and downs. The lows of depression are “so extreme” that they far outweigh the exceptional bliss of hypomania, and in fact render it “f*cking cheap.” Since bipolar patients know that depression typically follows hypomania, that consequence almost completely devalues what was fun about being hypomanic.

“Weeks” of “lows” is another clue that Rilo Kiley is referring to mental illness as opposed to normal mood variation.

-“Your ship may be coming in / You’re weak but not giving in / To the cries and the wails of the valley below”

Further evidence of the tension between bipolar optimism - we’re Always hoping for a permanent end to mood cycling - and the very real possibility that a. we will continue suffering “extreme” highs and lows indefinitely, or b. we might succumb to depression and kill ourselves. The suicide rate among bipolar patients is much higher than among those with unipolar depression, perhaps because the cyclical nature of improvements, followed be even worse setbacks, becomes unbearable.

The mingled optimism and despair in this song seems perfectly remnicient of bipolar disorder, to the extent that I have to wonder whether anyone in Rilo Kiley (or their families) is bipolar. I heard a rumor once that Jenny Lewis herself was bipolar, but I can’t find evidence of it.

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