The poem begins with a plain claim: the speaker's mind is a river. Like a river, it keeps moving "night and day," and the phrase "business not yet done" suggests a restless mind that never quite finishes its work, even during sleep. The title, "Going with the flow," sounds relaxed, but the poem hints at something less easy, a stream of thoughts the speaker can't switch off.
Then the poem changes direction and asks us to "picture a hill." Next comes a frame around that picture, as if the speaker is stepping back to look at how they look at things. The frame holds "my itch" and then "a life." That small shift is striking, because an itch is minor and nagging, while a life is enormous. Placing them side by side suggests the speaker sees their whole existence as a kind of persistent restlessness. The mood is quiet, reflective, and a little wry, with a gentle unease underneath.