we are all just sleep-deprived teenagers going on in the life we didn't choose to live, laughing at jokes to make people believe we are alive, listening to music that doesn't want to make us die; all convinced we're happy inside even though we all have a reason to cry.
The speaker looks around and sees a whole generation performing happiness. "We are all just sleep-deprived teenagers" makes the feeling sound universal: everyone is tired, living a life they never picked, and getting through it as best they can. The small details are telling.
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