This is powerful. The flow of the piece is strong but a little overwhelming.

If Kitty, then I would recommend changing it back to the personal pronoun, it can be ‘she said I am ___,’ not verbatim what she said.

Thank you!

The change to second person is meant to be a friend, more or less, speaking to the narrator. If that’s not too strong I can work that out.

I thought she was talking to another voice in her head..
On another note, I resonated with this immensely. You have described what I call a muse. :)

ElshaHawk: Exactly. Kitty is actually a character from a story I wrote once that I’ve since become convinced is the personification of my own cold, rational side. When she interrupts my thoughts, she is so “her own woman” that it doesn’t feel like me talking to myself at all.

Oh, I thought Kitty was the author’s secretary…but that’s because our secretary at the clinic was named Kitty.

It’s a twisted, tortured sort of exploration, a bit on the rambling side. I think it could have done without the italics, but that’s me.

Very good job having the emotion come through here.