The speaker is feeling lost and confused due to the conflicting feelings of someone they are involved with, who is driving them insane. They feel like they are nowhere at all in this situation.

Meaning of "Nowhere at All" by Lou Reed

The lyrics of "Nowhere at All" by Lou Reed express the frustration and confusion that can arise from a tumultuous relationship. The repetition of "Somebody's got to help me" emphasizes the speaker's sense of helplessness and need for assistance to navigate the emotional rollercoaster they are on with this girl. The conflicting nature of the girl's feelings, liking it hot or cold, reflects the unpredictability and inconsistency in the relationship, leaving the speaker feeling lost and disoriented. The repeated refrain of "I'm nowhere at all" conveys the speaker's feeling of being stuck in a state of limbo, unable to move forward or make sense of their situation. Overall, the lyrics capture the overwhelming and disorienting experience of being in a confusing and complicated relationship.