In an interview for Noisey, Wolfe explained that the album’s topics deal with her confronting various health issues: “I deal with extreme anxiety that gets exacerbated by bouts of insomnia […] I’m constantly trying to find ways to calm down… That has manifested into addiction at times [and] I carried a lot of that into this record, especially on ’16 Psyche’ and ‘Spun’.” Wolfe also disclosed that the album had been about coming to terms with issues both familial and personal. In the interview, she stated that “there were some things I hadn’t dealt with before, from the dark past of my family, to relationships I’d had, to my own health, some of the songs became a personal exorcism and some of them were written in dedication to the hardships that others have faced.”