Anxiety is the title, but the poem never uses the word again. Instead, it lists what the speaker's body is doing: a hot face, a pounding heart, a tight chest, a bouncing leg, a shaking hand. Each line is short and plain, and they stack up one after another, so the reader feels the symptoms piling on without any chance to breathe.
Then comes a quieter, sadder line: "the low self worth." Here the poem shifts from the body to the mind, suggesting the physical panic comes with harsh thoughts about oneself. The final two lines break the pattern completely. The speaker asks politely, "May I go to the restroom please?" and then admits they might "pass out on this floor." The setting seems like a classroom or a similar place where permission is needed, though the poem doesn't say so outright.
The mood is tense and urgent, but also painfully controlled. The speaker is falling apart inside while still using good manners, and that contrast is what makes the ending so affecting.