Tragic, and I love the level of internal contradiction, that sort of reverse or perverse pride in being unwell that makes some people cling to their dysfunctions, cause being all better is too scary.
It is sort of morbid, the taking pride in being special because you display the worst emotions. I remember a phase when I wondered who would truly care and suffer if I were gone from this world. But I preferred being all better.
I think the conclusion reveals almost as much about the narrator as the main section.You express your emotions so clearly, and with such awesome diction!
A dichotomous interior dialogue of personal affliction. Well told. My personal opinions regarding the construction are thus: An introduction sentence that establishes the occurring conversation between him and her would clarify the transition to the inner thoughts of the protagonist, and then tie back to the final paragraph.
Also, though I enjoy the diverse range of description, it begins to feel somewhat list-like. Perhaps you could pair down your adjectives, or push the opposite direction and make use of colons to have the character literally listing the pros and cons to himself.
Some things to think about. All views and opinions expressed are personal and not affiliated with Ficly or its sponsors.