The speaker is addressing someone who hurt them badly and then claimed the harm was over. The first part lists what that person did: leashing instincts, cutting out a voice, opening up insecurities, draining a heart, and finally throwing the speaker away like trash. Each image is about being silenced or made small.
Then comes the turn. The other person says "it would all stop," but the speaker asks how that can be true when "things are just the same." The second list repeats the first almost line for line, only now in the present tense. That repetition is the point: the damage didn't end when the behavior supposedly did. The speaker is still muzzled, still exposed, still empty, still in the trash can.
The mood is flat, tired, and bitter. There's no shouting. The calm, short final line, "yes. things are just the same," sounds like someone who has stopped expecting an apology to fix anything.