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It's possible.
I mean, it's hard to decipher it - being bipolar I know how mental breakdowns go..it varies from human to human.
But the title REALLY makes me think of that hospital, it makes so much sense in my brain..lol

If I remember correctly (Don't hold me to it!), Max posted on Twitter that the "I hate.." the singer with the denim skin is about the lead vocalist of Incubus.
And the "I hate.." the rapper in the Lexus was Kanye West.
I could be wrong, but for some reason I believe he posted that on Twitter a ...

I would see it as being in an abusive relationship to an extent.
Not physically abusive but emotionally abusive.
Speaking from personal experience, abusive people tend to look at their significant other as property - they make them feel like no one else would accept them so they'll be attached to ...

The title makes me believe that it's about the hospital in Texas that Max was in.
The lyrics, on the other hand..
/Confusion.