anxiety: my heart wakes me up, tattooing irregular beats against
my ribs, pulse racing, breath shaking.  i cannot tell
if this is real or psychosomatic.  these days,
i think about death all the time,
no longer by suicide.  now, i am
an accident waiting to happen,
fragile from years of misuse &
neglect.  the shallow inhales
of my lungs tell me
i am not okay.

depression:  this is a gray day.  i swallow my meds even though
they take away my mania.  so i drink black coffee until my mind
races itself in circles, chasing its tail like a rabid dog.
i keep the razors hidden in my sock drawer,
just in case.  

anorexia: my ribs ****** forward from my skin again, the sharp
protrusion of my bones beginning to show through.  i am eating
but drinking my weight in water
& mainlining caffeine to keep my metabolism high & my weight
low.  i am still child-sized & i don't want to grow.  
they lift me easily with their arms & marvel
at my featherweight body.  
the compliments i get only make me
eat less.

self-harm: on the days when i am low, i trace
the silver stretch of scars scattered over my skin
with a yearning for a blade between my fingers
just one last time.  i swear to you, the bleeding is over,
but i need to know
i am still brave
enough
to hold a sharp edge against my flesh
& press down,
hard.

addiction: a month ago,
i downed four adderall in one sitting,
luxuriating in the heady rush & lack of pain,
the quiet & the calm.
when i lived at home, i stole
my mother's vicodin & took the whole bottle.
i'm not sorry.  
when the boy who only cared about ******* me
offered mdma for free,
i accepted, but i shouldn't have trusted him
to keep me safe,
blacking out on his kitchen
floor.
drink red wine to forget
my insecurity, inhale
thick, sweet smoke to feel
some semblance of happy,
drag on cigarettes
down to their filters
until i feel properly
alive.

all i want is to be better, but
where to begin?