After a five-year break from her public career, singer-songwriter Avril Lavigne has released a powerful worship ballad titled “Head Above Water,” which recounts her battle with Lyme disease.

In “Head Above Water,” Lavigne details her relationship with God, and how He saved her when she thought she was at the end of her life.

In the first verse of the song, Lavigne sings about the unbearable pain she experienced that made her feel like she was literally drowning. It sounds as if she is trying to convince herself that she has the strength to power through anything that happens to her.

I’ve gotta keep the calm before the storm / I don’t want less / I don’t want more / Must bar the windows and the doors / To keep me safe to keep me warm / Yeah my life is what I’m fighting for / Can’t part the sea / Can’t reach the shore / And my voice becomes the driving force / I won’t let this pull me overboard

But then, Lavigne has a change of heart. She goes from singing about relying on her own strength and power to acknowledging her need for God to rescue her.

God keep my head above water / Don’t let me drown / It gets harder / I’ll meet you there at the altar / As I fall down to my knees / Don’t let me drown / Don’t let me drown

Lavigne goes from singing about her own willpower to falling on her knees in front of God and asking Him to save her.

In a way, she presents the beautiful message that is the Gospel: that God sent His son to die on the cross to carry the weight of sin, and in turn our burdens. So that when trials, struggles and tragedy come our way, we can have it all over to Him, and have faith that He will keep us safe.

Throughout the rest of the song, Lavigne sings her praises to God, asking Him to save her.

So pull me up from down below / ‘Cause I’m underneath the undertow / Come dry me off and hold me close / I need you now I need you most / God keep my head above water / Don’t let me drown / It gets harder / I’ll meet you there at the altar / As I fall down to my knees / Don’t let me drown

Lavigne’s battle with Lyme disease hasn’t been a secret. In 2015, Lavigne announced that she had been fighting the debilitating disease for a year and that was why she had been hiding from the media. Her battle with Lyme was the reason she exited the music industry five years ago, and now the inspiration behind her latest song.

In a powerful and vulnerable statement, Lavigne detailed the night that she started writing the song:

“I thought I was dying, and I had accepted that I was going to die. My mom laid with me in bed and held me. I felt like I was drowning. Under my breath, I prayed ‘God, please help to keep my head above the water.’ In that moment, the song writing of this album began. It was like I tapped into something. It was a very spiritual experience. Lyrics flooded through me from that point on.”

Lavigne isn’t the first pop artist to make the crossover from pop to Christian music. Just last week, singer Tori Kelly released her first Christian album, exposing millions of her fans to her relationship with God.

“Head Above Water” is now streaming on every major music platform.