The lyrics to this song didn't come easy, as they were very personal and intense. In a Songfacts interview with Johnette Napolitano
, she told the story: "We did a demo with no lyrics. It was just like scratchy vocals, just me making sounds, basically, where I knew the melody would go. And right away everybody reacted to it. There weren't any lyrics, but there was something about the music that everybody really reacted to. And so we went to England to record the record with Chris Tsangarides, our producer. I knew what I wanted to say, but I wasn't looking forward to saying it. And so it was the last vocal that I recorded.
And I remember Chris every day, 'Do we have vocals to 'Joey' yet? Do we have words to 'Joey' yet?' And I'm like, 'Not yet.' So I literally wrote them in a cab. I knew what I was going to say, it's just a matter of like a cloud's forming and then it rains. The lines are forming in my head and they're all in my head, and I know the chorus, and I know what I'm going to say. It's just a matter of fine tuning the details and how I'm going to lug it out. And then it rains. The clouds all formed and it rained. And then it happened. And that was it. And it was just there."