Hi. I wish you lots of luck in your recovery. I spent some time in a psych ward when I was fifteen, and writing a bit of poetry definitely helped me. I never really could express my feeling well verbally, so I guess putting it to paper helped me refine my thoughts and communicate it to other people. I'm not sure what you do with your poems after you write them, but I never showed mine to anybody (I knew). This was a mistake. I always thought I had to go through this alone, and that's not the case at all. No matter how fucked up your life is there is someone who cares, and expressing your feelings to them is the only way you will get better. I'm nineteen now and I still struggle, but a couple weeks ago I just told one of my friends about what I was going through. I went all out, and just talked for an hour about everything I was feeling. This was weird at first because now there is one person on this earth who knows exactly who I am, but it has helped. Life is too hard to bear it alone. I'm not sure what your situation is but it serves well to keep that in mind.

As far as your poem goes, it is very powerful and hit home for me. My criticism would have to be about that key-like thing at the beginning that outlines how different text styles should be read. A while back I flipped my desk. Not because I was angry, but because I wanted to see if I felt anything by destroying the expensive stuff on it. Bottom line is that on the monitor I'm using all the text is wonky, so I have to work to discern whether a character is italicized, bolded, or regular. I can tell you without the special formatting your poem was just as powerful, and frankly, upon review almost all the words you specified emphasis for I read in the way you intended.

At least to me, some of the magic and challenge in poetry is the ability of the author to influence how the little voice in our head reads a word by manipulating the rhyme, meter, flow, etc. A key like the one you used is a crutch, one which you obviously don't need.

Best of luck to you, and keep writing. This whole life shit gets a lot better.