The lyrics of Melody Gardot's song Worrisome Heart express the need for love and acceptance despite the narrator's worries, troubles, and perceived flaws. The repetition of the opening line "I need a hand with my worrisome heart" portrays the narrator as someone carrying a heavy burden of anxiety and fear. The desire to find a partner who will love them unconditionally is emphasized through the recurring line "Who could love me the way that I am," indicating a lack of self-confidence and self-love.

The second verse of the song introduces the idea of taking a break from one's own troubling ways. This can be seen as the narrator's acknowledgment of their own shortcomings and the need to work on themselves. However, the third verse takes a different approach by expressing the desire for a partner who has no emotional baggage. This can be interpreted as the narrator seeking a savior or the idea of a perfect partner who will "fix" everything for them.

Overall, the lyrics of Worrisome Heart convey the universal feeling of self-doubt and the search for love and acceptance. It also highlights the importance of self-love and growth before seeking a partner.