Coming from Avril Lavigne’s sixth studio album, Head Above Water was Lavigne’s first single since 2015. The song details her struggle with Lyme disease, writing “I had accepted death and could feel my body shutting down. I felt like I was drowning. Like I was going under water and I just needed to come up for air. Like I was in a river being pulled in a current. Unable to breathe. Praying to God for Him to help me just keep my head above the water. To help me see through the stormy weather.”
“Head Above Water” is a “powerful, spiritual epiphany” (Marina Pedrosa, Billboard), with a “highly personal note” (Robin Murray, Clash). A pop rock ballad that could just as easily fit as a praise and worship song.
This arrangement for String Quartet has the melody mostly in the Violin 1 part, with one section with the melody taken into the Cello – where it goes into the Treble Clef to a C above Middle C.