The poem opens with a question that sets the tone: does the speaker blame themselves for hurting other people? From there, the speaker seems caught between guilt and loneliness. They describe pulling away from people and making excuses, such as saying they're busy when they aren't. Those people get angry, and the speaker feels that nobody really understands what they're going through. Interestingly, the speaker also says "you distance yourself without knowing," which suggests this withdrawal isn't entirely a choice. It happens almost on its own.
The mood is heavy and quietly sad. The short, plain lines read like someone thinking aloud rather than performing. The final line is the most painful: "It's hard to live, / when you know others don't want you to." After all the talk of guilt, it shows the speaker believing they aren't wanted. The poem leaves us with isolation and a sense that the speaker is hurting just as much as the people they worry about.