The Grammy winner says their third studio album, out Oct. 30, grew from learning to accept the parts of heartbreak that stay with you even after you've moved on.

Transcript

SCOTT SIMON, HOST:

Sam Smith is known for their soulful voice and satin falsetto pitch.

(SOUNDBITE OF SONG, "DIAMONDS")

SAM SMITH: (Singing) Have it all, rip our memories off the wall. All the special things I bought, they mean nothing to me anymore. But to you, they were everything we were. They meant more than every word. Now I know just what you love me for.

SIMON: But their lyrics, whether in a ballad or a bop, aren't just about loving or losing others. They're also about the love of the genuine, the true, the self. Sam Smith's new album is called "Love Goes." Thank you so much for being with us.

SMITH: Ah, thank you. That's such a lovely thing for you to say. The true, the self - I love that. Thank you.

SIMON: Well, I think it's quite true. And I gather this album was supposed to come out in May and it had a significantly different title.

SMITH: Yes. Yeah, it did. It was called "To Die For," and obviously, because of what's happened the last six months, it felt a little bit desensitive calling the album that, basically.

SIMON: Yeah. This is, in many cuts, many respects, a sad and pensive album - songs that touch on regret, vows to get better. Let's hear a little bit of "Forgive Myself."

(SOUNDBITE OF SONG, "FORGIVE MYSELF")

SMITH: (Singing) Until I wake up in the morning, you're all that I see. You run through my head, in and out of my dreams. Breathe for a minute, child, focus on me, but I can't think of anyone else. Now my heart is broken and I'm crying on the floor, and every part of me hopes you walk through the door. But you're not here, baby, and I can't love anyone else until I forgive myself.

SIMON: This feels a little bit like a song that's about the small recriminations that we all carry but learn to live with as we go on.

SMITH: Yeah.

SIMON: Is that a good reading?

SMITH: Yeah, completely. I mean, I - this song for me was very fresh after a breakup with someone, and my heart was just really, really heavy when I was writing it. There's an element of desperation in there, I think, and also just realizing that I can't move forward unless I forgive myself for the things that have happened. And I think that's in terms of relationships but also in terms of life, you know?

(SOUNDBITE OF SONG, "FORGIVE MYSELF")

SMITH: (Singing) But you're not here, baby, and I can't love anyone else until I forgive myself.

SIMON: You have been very open in recent interviews about just having been hit hard by mental stress.

SMITH: Hmm.

SIMON: Do you mind opening up a little bit about that for us?

SMITH: Yeah.

SIMON: I think a lot of people are feeling that one way or another nowadays.

SMITH: Yeah. I mean, I struggle - I have mental health in my family, and I think no matter how my life was going to go, I probably was always going to have to battle it at some point just from a genetic standpoint. But for me, becoming famous, becoming successful really, really wreaked havoc on my insecurities and my mental health. And it's taken a good four, five years to get into a place where I just feel positive again about stuff and about life. I have OCD, so it's not necessarily a depression that I have. It's an anxiety disorder. And then I become depressed because of the anxiety disorder. So it's just been - I think, just like everyone who's in their late 20s, I feel like I'm just trying to figure myself out so I can only lead a happier life because my early 20s were just really tumultuous, and I find talking about it great and good.

SIMON: We may get emails and tweets from people who don't understand why we refer to you as they and them. Can you help us understand that?

SMITH: I mean, first of all, I want to point out before I explain this, I am a singer. I've only been known as they/them with my pronouns for the last year and a half. So if anyone wants to know more about it, I would implore you to read and to go online and just search up nonbinary activists because they're way more eloquent than I am. But my whole life, my gender has been something that I felt very uncomfortable about, something I felt very confused about. You know, being known as he and him have never felt correct or right. About two and a half years ago, I basically started learning about this language that could be used and is used for genderqueer people which makes their life a little bit easier. And when I read into it, it really struck with me, and I completely understood that is who I am and that's how I felt. And then I took the step of changing my pronouns to they/them, which has been a weird experience, a harder experience to go through in front of people and as a famous person.

SIMON: Yeah.

SMITH: It's been great to feel closer to myself, but I've always felt this way. I've always felt genderqueer. So the feelings aren't new. It's just people are treating me differently again, which is bittersweet.

(SOUNDBITE OF SONG, "YOUNG")

SMITH: (Singing) But they're watching me, judging me, making me feel so used. Can't you see that all I want to do is get a little wild, get a little high, kiss a hundred boys and not feel like I'm tied to them? If you want to judge me, then God will load the gun. I did nothing wrong. I'm young.

SIMON: We want to go out with what's now the title track of this album. Let's listen to a little bit of "Love Goes."

(SOUNDBITE OF SONG, "LOVE GOES")

SMITH: (Singing) I tried to change you, tried to make you into someone else. I guess the only one I'm fooling is my stupid self.

SIMON: May we ask, has love come back?

SMITH: (Laughter) I think love always stays with you, but I think that this whole last few years of my life marks my first proper relationship. And I think I got a clearer understanding of what love meant as an act. I don't think I really understood that before I wrote this record. Everything you go through with someone else, you own that forever, I think. But the love, the actual love does go, I think, sometimes.

SIMON: It's always in the horizon, too, isn't it? The horizon in our hearts, too.

SMITH: And within yourself, yeah.

(SOUNDBITE OF SONG, "LOVE GOES")

SMITH: (Singing) That's how love goes, goes, goes.

SIMON: Sam Smith - their new album, "Love Goes," is out now - speaking from London, and thanks so much for being with us.

SMITH: Thank you. It was so lovely chat to you.

[POST-BROADCAST CORRECTION: In this story, we incorrectly say Sam Smith's new album is out now. It will be released Oct. 30.] Transcript provided by NPR, Copyright NPR.

Correction

In the audio version of this story, which was originally broadcast Oct. 24, we incorrectly say Sam Smith's new album is out now. It will be released Oct. 30.