Harm Reduction

Pain management is suicide prevention.

Maybe that's why my psychiatrist

was the one who finally treated it.

I was stuck in the pinball machine of medicine

being bounced from specialist to specialist—

arguing the cause, never treating the effect.

They lectured on prevention

like pain was a habit I could grow out of

but I was already drowning in it.

Turns out a will to live

can be measured in milligrams.

900mg of Gabipentan a day

keeps the suicidal thoughts away.

its not exactly poetry

but it works.

I went from being bed ridden

to driving my car

from googling assisted suicide

to planting something that may live longer than me

Kaycee Painter is a disabled poet from Dalton, Georgia, and serves as the web editor for Mouthful of Salt. She writes from the body, exploring what it means to endure in a world not built for you. Her work has appeared in TrashLight Press, Beyond Words Magazine, and The Nonbinary Review. You can find more of her work at https://kayceepainter.weebly.com/.

cover pic Double Dutch magazine issue 4 July 2026