Stop looking at me like that

[kkieran]

Don’t you THINK I know? Get rid of the full caps. Also, I'm not sure why the other person would be more aware of how alone you are/feel-- of course you know
How alone I’ve been?
How alone I am?
Even when you’re home?

Rocking on the bathroom floor- I'd rework these first two lines, or reverse the order
Back and forth back and forth
Manic laughter primal sobs
I WATCHED myself lose it -  sounds like a dissociative episode--  as if you were out of your body, seeing this happen

Don’t you THINK I know?
How bad it is?
How far I’ve fallen?
Everything I’ve lost?

Grieving into the silence
Screaming myself numb
My toes were frozen on the tile
I SAW my crazy eyes reflected

Who the hell was there?
Whose arms wrapped tightly
Around my shoulder blades
In the dark at 3am?

It's always super hard to convey emotional extremes, especially when in the midst of them. There's so much anger and sadness here,- I'd like to know a little more about the source. Who are you talking to? What have they done...or haven't done? If you can find a way to give the reader some reference, as to why you're feeling this way, I think it would help make this piece more relevant.