It means.

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When I say "I'm tired."
It doesn't just mean I didn't get enough sleep last night.
It's means I've been emotionally tired for a long time now, and I don't feel like holding on.
When I say "I don't feel like holding on anymore."
It doesn't mean I don't love you.
It doesn't mean I want to hurt you or see you sad.
It means I'm too tired to get out of bed and the words in my head are so loud I can't think clearly anymore.
It's saying I'm trying my hardest and my hardest isn't good enough anymore.
When I say that I don't want to be yelled at.
I don't want to be lectured.
I just need a hug.
I just want some reassurance.
It means despite my greatest efforts I'm still falling deeper into this black hole of my mental illness.
So when I tell you "I'm tired."
Please don't tell me I need more rest, because I've been trying and despite my best efforts my head is still spinning and my thoughts won't stop.
~E.M.C

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