The thought of you leaving is what fucks with me
I'm scared to death of getting full custody

from Slaughterhouse – Truth Or Truth, Pt. 1 Lyrics on Rap Genius

Meaning

The thought of full custody, something that Joe had probably wanted before, is now frightening because it means he’d be losing his one-time friend, lover, and mother of his son.

Continuing this moment of unfiltered honesty, Joe admits he would not know how to handle full custody of his son and that he is afraid of that — a continuation of a fear already referenced in his own song “When Thugs Cry”

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