"Heartless" by Heart is a song that tells the story of a woman who is seeking help from a doctor due to her emotional distress. The doctor advises her to come back for more sessions, but all she does is cry and express her desire to die, desperately asking the doctor when he can see her. She explains that there is a man in her life who seems to be everywhere, causing her pain and torment, making her feel like life is unfair. The lyrics depict the woman's feelings of despair and hopelessness, as she feels overwhelmed by the presence of this man who brings her so much pain. She seeks solace from the doctor, hoping he can offer some kind of relief or solution to her struggles. The chorus of the song, "Heartless, heartless, never never out of control," suggests that this man is heartless and lacks empathy or compassion. He continues to indulge in reckless behavior in the name of rock 'n' roll, seemingly unaffected by the consequences of his actions. The woman believes that he thinks his rock 'n' roll lifestyle can fill his empty soul, but she argues that love dies when you mistreat and disregard its importance. In the second verse, it is revealed that the woman and the man are together in a penthouse room late at night. The atmosphere is described as warm, with a fire burning and the woman laying in the man's arms. However, the woman realizes the deceitful nature of the man's intentions and his plan to mislead her. Despite this understanding, she finds herself torn and confused, her eyes filled with sand, representing her mixed emotions and inner turmoil. The repetition of the chorus emphasizes the heartlessness of the man and his disregard for the consequences of his actions. The song suggests that he believes being heartless is a cool and desirable trait in the rock 'n' roll lifestyle, but the woman disagrees. She believes that true love cannot survive when it is treated with such disrespect and cruelty. Overall, "Heartless" tells the story of a woman who seeks help from a doctor to cope with the emotional pain caused by a heartless man. The song highlights the destructive nature of heartlessness and its impact on love and relationships.