My Commanders

There are voices in my head
Does this mean I'm insane?
They tell me how to live my life
And fill my head with pain
They tell me noone loves
Or would care if I should die
They tell me I'm not good enough
And then I start to cry
They tell me if I cut myself
The hurt will go away
They tell me I should slice my wrists
And do it everyday
I listen to them sometimes
Though it causes so much pain
So tell me please, answer me
Does this mean I'm insane?