my skin is howling  
my tears descend
the pain is somehow still caged

my throat swells
my jaw tightens
the hurt must stay within

its more painful than anything I’ve ever felt
like a pack of wolves tearing my heart out
the pain is eating me

eating more than I ate for the years my dysphoria got me to starve myself

i can’t hide anymore
tear me open if you must
but tear me open in the right places