The speaker writes a letter to a girl she once knew, remembering two moments years apart. At seven and eight, Mikayla hands her a crayon chart for tracking food, because she wants to be skinny and look grown up. At fourteen and fifteen, she reads a story aloud in class about her deep sadness. In both scenes, the speaker is struck by how openly Mikayla displays her suffering, while the speaker's own mother quietly insists she is already "perfect."
The final stanza turns sharper. The speaker describes Mikayla's pain as "palatable," something pretty and easy to consume, with her anxiety "elegantly glamorous" and her depression "beautifully disheveled." The phrase "bandages over nonexistent wounds" suggests the speaker doubts the pain is real, or thinks it is being staged. The mood is bitter and a little envious, but also unsettled. The speaker seems unsure whether she is mocking Mikayla or mourning her, and that uncertainty gives the poem its edge.