On the Three Days Grace official website, lead singer Adam Gontier explained that he wrote the song after going out on tour for their first album, and found out that you can be lonely in a crowd of thousands: "This song really came to fruition while we were up in Bancroft, Ontario, Canada, at our buddy Art's cottage, on Stiemer's Lake. We were sitting on the deck, with guitars, beers, and a barbecue, when this song came to life. It's a song about feeling like you're constantly numb to things around you, thanks to your own actions, and it's about being sick of that feeling. The main lyric in the chorus, 'I'd rather feel pain, than nothing at all,' really stands out to me, as one of the strongest lyrics on all of One-X
Gontier is also quoted as saying that the verses come from "someone telling me there's something wrong and you have to do something about it."