sentences:  The song was conceived when keyboardist Jordan Rudess wrote what would become the "Overture" section, and the band took various melodies and ideas contained within it and expanded them into segments of the complete piece.The song explores the stories of six individuals suffering from various mental illnesses.Particularly represented are bipolar disorder, post-traumatic stress disorder, schizophrenia, post-partum depression, autism, and dissociative identity disorder.