When my body doesn’t fit what my brain says i am and my heart hurts because it’s empty

When the pain in my head isn’t enough and the scars on my wrists have faded

When i can't fall asleep because i’m thinking too much and the thorns in my head won't go away

When i can't look my family in the face because i know i’m a disappointment

When i can't say i'm fine without knowing i’m lying

When i can't wear my clothes without wanting to claw my skin off

That's when i know dysphoria’s kicked in

When i'm depressed without reason

When i get anxiety about talking

When i can't pick up my feet

That when i know dysphoria is here