This is one of your better poems. I love the rush-stop rhythm, and I'm a sucker for mixing images and abstract ideas within a metaphor. The repetition of the rhetorical question holds the poem together, and the form break brings the poem's tone to confessional. My favorite part of the poem, however, is the last line, for it becomes not only a plea for empathy but also an accusation against the crowd. Nice work.

Two lines, however, struck me as awkward. The phrasing of "Poured guilt into a room of heightened distress" is stiff and disrupts the flow of the poem. Also, the line "The cease of all sound" isn't technically right; you are using "cease" as a noun when it is a verb. More correct would be "Ceasation of sound" or "The end of all sound." But if you like your wordplay in that line, keep it.

Again, I very much like the form and meaning of this poem. I really connected with it.