I literally just read this poem, http://www.poems-and-quotes.com/poems/1267445, and couldn't help but notice some parallels! How ironic!

Regardless, this is a very relatable piece. That feeling of exhaustion where you just stop feeling anything, and you crave some feeling, which I believe is what drives people to forms of self-mutilation. I think I mutilate myself socially by cutting myself off from nearly anyone around me, becoming a self-fulfilling prophecy of loneliness.

Anyway, I went on a tangent there, as I always seem to do. This poem made me think and be introspective, and I thank you for that. A couple corrections I'd offer up, for ease of reading:

Original:
My dull and tired eyes.
And frozen frown, why does it seem to permenant?

Suggested:
My dull, tired eyes
and frozen frown. Why does it seem so permanent?

(Just taking a liberty with the punctuation, but starting a sentence with "And" was a bit confusing and permanent was misspelled).

Original:
"Are you okay?"
That's what they say.

Suggested:
That's what they ask.
(It would seem "they" are asking, so I would suggest changing "say" to "ask.")

Original:
"I'm fine." Is all I can think.

Suggested:
"I'm fine," is all I can think.

Thanks for sharing!
S