Sometimes, like now, I scream and scream and scream and the inside pain is, if I could just scream loud enough I could get rid if it but no so oh, a slice of the knife?

obvs that solves everything but one isn’t allowed any more but why why can’t I but then you realise it’s a different screaming pain and the knife wouldn’t actually help in the situation any way.

so you’re left with,

WELL THEN HOW DO I GET RID OF ALL THIS CACOPHANY OF SCREAMING INSIDE MY HEAD?