ur so underrated. i think this song is about meeting up with the ex lover and processing everything that they've done to each other. and phoebe's verse is going back to before they broke up and how the pain was already so pent up. (so gay)
the cowboys with the neck tattoos is also a neat detail since it basically describes julien, the singer of that line. could maybe be a double-meaning thing
I kinda think this song has a lot of meanings and one of them could be about addiction to medication and not being able to let go of that addiction and also not being able to let go of the person.