Alone, I am alone,
A crowded room only demonstrates
  the depths of my solitude
I run off friends, I hurt lovers,
  I destroy families.
I feel the loss, the theft of all
  those I hold dear.
I feel the confusion radiating
  from me like the heat of
  a diseased fever.
The sickly stench of fear hanging     like a putrid miasma.
I am alone, not for lack
  of those who care,
But due to my sadistic need
  to punish myself for past wrongs.
Imagined or real
Alone, I am alone.