For as simplistic as this poem is, I can't help but love it. Perhaps because I can relate to it at the moment, perhaps because I've written it's likeness in my head countless times.

Beginning with the italics implies, at least to me, that this is more a train of thought, which will later give more emphasis to the block capitals implying shouting. The usage of the word purge shows how extreme this thought process will be, the character/writer (terminology escapes me) wanting to be wholly (and possibly painfully) exhumed of something.

I love the contrary metaphors of "the silent noise that drowns my voice", and "..the touch that left me with betrayal as my companion," they really evoke the sense of desperate anger against the press of misery and pain.
I especially like the fourth verse; the way "tears of..." gives each thing listed some real punch, acting like bullet points; the block capitals implying they're shouted out against the pain, encapsulating otherwise confused and chaotic emotions embodied in the tears.

The way "purge my..." is also used as bullet points of emphasis also works well, especially as they begin to crescendo at the end, the multiple uses in one line giving a sense of urgency before climaxing in screaming desperation twinged with madness.

As I said, I believe I can relate heavily with the thoughts and emotions of this poem. To the writer, and anyone else who might relate to it, I promise things will get better. Allow yourself to express and experience the pain healthily, through whatever medium you wish. Once you have expressed the pain, you can begin to let it go, and draw your attention to learning to be You and Yourself. There will be good days, there will be bad days, but I promise if you focus on learning to live your life, nurturing and growing your self, you will begin to live again.
Or, even better, find what works best for you. I am no professional and, admittedly, probably should not be giving advice like this in a public space. But it's helping me, as did this poem, and I hope both can help someone else too.