You reall have something here! i like the way your first stanza starts - the alliterations are good -

Searing hands upon my soul
Tears holding me together
Fears keeping a strangle hold
Mouth opening and closing
No sound left for screams.

the only line i thought was rather out of place in this great work is

"Like a drowning rat in a tub"

the ending is great too!

good luck and peace - thanks for commenting on my work!

love and luck
shobhana