Themes and composition
Lyrically, the song's message is centered around surviving mental health issues. [4] The song features bass-driven verses, followed by a wash of heavy guitar and synths in the chorus, with frontman Jacoby Shaddix's recurring line in the chorus singing "I think I need help / I’m drowning in myself". [4] Rock Sound described the song as "infectious, emotional...powerful...a cry for help in musical form". [6] Shaddix described the song:
With a track like Help, that song kind of harkens back to 'Scars', but it’s a little bit more uptempo and upbeat than Scars is. But it’s just a dark anthem, and I like that juxtaposition...We tapped into that on a track like Scars back in the day, and we were, like, ‘All right. Let’s see if we wrote something in a major key again.’ We’ve done that with songs like Lifeline in the past...It’s got a little element of some old school with some new school. [7]
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