I’ve been on a bit of a King Crimson tear lately, so this is what came to mind first:
“Thela Hun Gingeet” by King Crimson [early 1980’s lineup] – the narrator is a nervous member of a band who gets mugged one day, who repeats himself when he’s distressed (and says so, several times). This to me suggests OCD tendencies, perhaps with a dose of magical thinking.
“Elephant Talk” – the narrator is thoroughly disgusted with and alienated by humanity, so much so that he dismisses all means of human communication (beginning with the letter A and running up to “elephant talk”) as worthless, and ultimately, no more meaningful than animal noises.
“Neurotica” – takes the alienation of “Elephant Talk” and kicks it up a couple of notches, to where the narrator walks the streets of a city, while hallucinating it’s a hostile tropical jungle, with all humanity stripped from its denizens. Perhaps he’s just being sardonic, but the furious, frenzied music seems to undermine any putative sanity left in him.
“The Howling” – the lyrics are tough to pin down, but it seems to be a more elusive, metaphysical extension of the “urban jungle” theme, with perhaps the evil impulses in the city taking on a more disembodied form…?
Also:
“Psycho Killer” – Talking Heads. Part subjective rambling with pretentious Frenchisms, part Otis Redding spoofery. It’s a portrait of a young murderer as narcissist and fop, played for laughs.
“Hospital” and “She Cracked” – The Modern Lovers. Narrator is a decent young man whose girlfriend or friend is in a mental hospital for her suicidal tendencies/had a breakdown.
“Astral Plane” – The Modern Lovers. Narrator is a horny young guy who’s masturbating in bed while fantasizing he and the object of his desire are together in a spiritual or metaphysical way, “on the astral plane”. Fantasy, wish fulfillment, mysticism, maybe hallucination.