more than self care

I take at least a dozen breaths,
formulate in my mind what I want to say
typing it out,
erasing, and typing it out again.
This is a safe space.

I ask the question.
How do you know when
you need more than just self care?

Reactions range from widened eyes,
to nodding heads and note-taking,
but him; he offers empathy.
We hardly ever need an engine replacement;
maybe it’s just an oil change or a tire rotation that we need.

Muted on the microphone,
I tremble and quiver in my thick wool sweater
as a tear slides off my cheek
and lands on the keyboard.