The psalm begins with an image: as the deer pants for flowing streams, so pants the soul of the psalmist for God. His soul thirsts for God, the living God, and he wonders when he may come and appear before him. His tears have been his food day and night, while people say to him all day long: where is your God?
He remembers how he used to go with the throng to the house of God, with glad shouts and songs of praise, a multitude keeping festival. Then he asks why he is cast down and in turmoil, and answers himself: hope in God, for he will yet praise him for the salvation of his presence. From the land of Jordan and the heights of Hermon, from Mount Mizar, he remembers God. Deep calls to deep at the roar of his waterfalls, and all God's breakers and waves have gone over him.
By day the Lord commands his steadfast love, and at night his song is with him, a prayer to the God of his life. He says to God, his rock: why have you forgotten me? Why do I go about mourning because of the oppression of the enemy? His adversaries taunt him with a deadly wound in his bones, saying again: where is your God? The psalm ends by repeating the refrain: why are you cast down, O my soul? Hope in God, for I shall again praise him, my salvation and my God.