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Hi Tumult Mind and welcome to the forums.
In this piece you express many feelings, but it seems to me you describe them all to the end. Instead of letting the reader know exactly how it is, you should try and create imagery, so the reader can relate to it in his/her own way.
Example:
I feel unworthy and so weak
Unable to change anything
this could instead be
Worth no more than a starving dog
the world is my cage.
Just an example (and maybe not a very good one), but I hope you get the idea.
Keep it up
/m
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