Insanity is smashing up against my soul
You can say I was on anything but a roll
If I had a conscience, well I just might blow my top
What would I do with it anyway
Maybe take it to the pawn shop
Highlands - Time Out of Mind - 1997
Although Dylan's career, in the qualitative sense, was revived in the early 90's with Good as I Been to You and World Gone Wrong both full of beautiful covers of traditional folk songs, this album really cemented Dylan's comeback and provided a kind of roadmap for his future endeavors.
In that vein these lyrics draw on my very favorite thing about Dylan. His talent for introspection. He's just wondering around the earth examining the world, looking for meaning and happiness, just like all of us - he just does it in the most beautiful and poetic way ever created. I can't imagine how much he was hurting writing this.
Highlands is over 16 minutes long but worth a full listen.