What's It Called?

When to smile like you mean it means to frown,
And to swim for your life means to drown...
Whats it called?

When to have a good sleep means to die,
And to dry your eyes means to cry...
Whats it called?

When to scream means to be silent,
And to look normal is to violent...
Whats it called?

When to be surrounded by people means your lonely,
And to only cut once means your happy...
Whats it called?

When to runaway means to escape this life,
And to put it down means to drop the knife...
Whats it called?

And when you've realised your in this stage...
How do you get out?

*bit of a wierd one, i don't know where i came from with this one, but any votes or comments would be great*