How do we know if a poem is untitled or if its title is "untitled" ?

Your heart gets heavy and you say lets do it again
Unable to raise a white flag to your good friend
your mind continues its destruction from within

Excessive thoughts and troublesome plights the enemy continues its rampage through the night
Strength unbearable impossible to fight
Incarcerating you to the prison that is your mind

I want to be able to write.
God, give me words.
But they won't come out;
I can't spill my tears,
my emotions onto paper,
Even though my eyes
Are burning
And my thoughts are pushing
And the barriers in my mind.

There's nothing quite like
saying hello to someone
who doesn't remember
who you are.

They tilt their head, maybe
squint their eyes,
but nothing materializes.
Your face means nothing.

Even when you saved
the world together when
you were both ten

or wrestled on old
Mrs. Snyder's yard
for an autographed
Ken Griffey Jr. card

or fell in and out
of love with the same girl
throughout the tenth and
eleventh grade.  

Now your face means nothing
and a world of memory is
shattered against the soft
edges of your heart.  

Maybe its troubling that
moments spent so earnestly
could be
forgotten

or the idea that you could be, too.  

The truly valuable people
come like drops
of water from
a sandy canteen

so forgive me while I
pick up the pieces of
myself that broke
off with you.