《Like I'm Gonna Lose You》的詞曲創作由梅根·特瑞娜完成，而演唱的時候是在她還未參加美國真人秀《美國偶像》的時候。其完整歌詞如下：
Verse 1:
Baby I don't know what to say
You're the one I run to
Now I'm back again, alone again
I ain't looking for a war
But you keep bringing your gun to the party
You say you're sorry, but it don't feel like it
Chorus:
Like I'm gonna lose you, like I'm gonna lose you
Baby I don't know what to do
You keep playing with my heart, like you're playing with fire
I keep running back, but it burns me every time
Verse 2:
So you don't need to act surprised
When I'm standing here, on my own
But now you got me doubting everything
The thought of it, the fear of it, oh I don't know what to do
Chorus:
Like I'm gonna lose you, like I'm gonna lose you
Baby I don't know what to do
You keep playing with my heart, like you're playing with fire
I keep running back, but it burns me every time
Bridge:
What was it about the game?
Did we lose sight of what we had?
Now I'm back on my heels, trying to figure out what went wrong
And now I'm wondering if I should even try to make it work at all
Chorus:
Like I'm gonna lose you, like I'm gonna lose you (x2)
Oh oh oh oh oh oh oh oh oh
Oh oh oh oh oh oh oh oh oh yeah yeah yeah yeah yeah yeah yeah yeah
Yeah yeah yeah yeah yeah yeah yeah
(Repeat Chorus to end)
這首歌是一首深情的歌，表達了梅根·特瑞娜在與她的男朋友的關係中感到的無力和迷茫，同時也透露了她的感情被對方無意義地忽視的悲傷和困惑。她在歌中告訴她的對方，她不知道應該如何面對這一切，但無論如何，她還是無法完全放棄他。她雖然想要找回他們之前的愛情，但是每一次都是傷痕累累。整首歌流露出了一種深沉而真實的感情，充分展示了她獨特的歌聲和她的人生經驗。