I gotta drink my medicine to cover what's inside of me
I'm still fucked up from the days nobody liked me
I'm lying just a little when I say that I don't give a fuck
You know I gotta give a fuck

from Childish Gambino – What The Fuck Are You? (Colouring of Pigeons) Lyrics on Rap Genius

His alcohol is his medicine, it makes him forget/feel better about the days when he got bullied. In a way, saying a rap trope like “fuck the world” still acknowledges that you care about the world enough for it to get you that worked up

To help improve the meaning of these lyrics, visit "What The Fuck Are You? (Colouring of Pigeons)" by Childish Gambino Lyrics and leave a comment on the lyrics box