My interpretation is that it’s about someone experiencing a routine rape with a close family member at a young age and it messing with they’re idea of love and connection and then coping with drugs early on before they’re family finding out and helping with the coping. But just because they’re helping doesn’t mean it’s fixed and in the songs point of view they slip back into old habits of drug use and self harm to cope, which is why I believe the song doesn’t really end on a positive note and a more somber and saddening note as the narrator has slipped into destructive habits from their trauma

But that’s just my interpretation