The song "Circumstance" by Junior Doctor is about struggling with pain and self-blame in difficult situations. The lyrics depict the narrator feeling knocked down by their pain, and though they try to block it out, they end up inviting it in. They acknowledge their own fault and blame in their unfortunate circumstances, feeling trapped and blinded by their own lies. The narrator expresses a desire for something to stop them, to help them overcome their struggles. They have reached a point where they feel their will is broken and useless. However, despite acknowledging that this might be the last time, they also question who they are fooling, implying that they have said this before but continue to face the same challenges. Overall, the song reflects on the internal battle of trying to escape painful circumstances while recognizing one's own role in it. It conveys a sense of desperation for help and a desire for change.