k i'm going to post what i think of the song:
as i said this song reminds me of Creeping Death by metallica. The general idea of the song i think is a person that lives in a very clean, sanctified way then he realizes that his usual way of living isn't the same (living in sin) the desires and temptations of the world are taking over his life, paranoia is taking control of his mind and he doesn't know what to do. Maybe miller took some ideas from the Bible or books to write this song