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Jul 14th 2017!⃝The song is clearly about depression.
"People think I'm insane because I am frowning all the time"
They are frowning all the time because they are upset or depressed.
"All day long I think of things but nothing seems to satisfy
Think I'll lose my mind if I don't find something to pacify"
Can you help me, occupy my brain?"
They can't think of something to make them happy and are asking for someone to distract them from whatever thoughts are depressing them.
"I need someone to show me the things in life that I can't find
I can't see the things that make true happiness, I must be blind"
People who are depressed often can only see the bad and not the good and need someone to help them see differently.
"Make a joke and I will sigh and you will laugh and I will cry
Happiness I cannot feel and love to me is so unreal"
This is how someone feels when they are severely depressed.
"And so as you hear these words telling you now of my state
I tell you to enjoy life I wish I could but it's too late"
Again, expressing despair and hopelessness, the belief they will not find happiness in their life.
Paranoid isn't about paranoia, it is about severe depression.
