What my theory conspires is that he left for a while, and when he came back, his girlfriend or more like "ex-girlfriend" was a completely different girl from when they were together. "Started wearing less and goin' out more; Glasses of champagne out on the dance floor." is more or less saying that she turned into a "slut". We don't actually know how much clothing she wore before, but Drake makes us think that she was wearing a really tight, short dress, or a dress that showed a lot more cleavage than before. "Why you never alone? Why you always touching road? Used to always stay at home, be a good girl. You was in the zone, yeah; You should just be yourself. Right now, you're someone else." He expresses that she used to be like a girl, who wasn't really associated with people who were bad. He sings, "Right now, you're someone else." That "someone else" isn't the girl she used to be when Drake was actually in town with her which signals that they either broke up or that girl felt more free without Drake holding her back from everything bad, so he makes the song revolve on how she changed into to somebody else he doesn't like.

The singer is expressing how hard he fell for her, and then she hurts him by words. Quoting the lyric "Your words cut deeper than a knife." He feels like he's being pulled down without her, and he wants to stop thinking about her. What he's trying to get through the people who are reading the lyrics right now is that "Not everyone is as they seem." The term called "catfishing". Catfishing is used quite often in Social Media cases. It means to lure somebody in with a fake or phony personality. They make people believe that they actually have that personality, and in some cases, they meet in real, and they're not what they seem. Like the girl in this song, he wants her back, but he knows what her true colors are, and knows not to get hurt again by the same person. "Needle and the thread, gotta get you outta my head. Needle and the thread, gonna wind up dead." is trying to express that he wants to get her out of his mind, but if he doesn't, it's just going to hurt him even more than he is hurting now. The singer sings to us, "Oh, you lured me in; I couldn't sense the pain." Which supports the catfishing deal. She lured him in with a fake personality.