It's fine to talk about what you think of the piece, but we'd like to focus on what the piece makes you think about. Some questions to start:
Have you ever been afraid to try to help someone? Why? Have you ever been upset by someone who wanted to help you? Why?
The poem begins with a sorrow that slices when swallowed. What's the distinction between healthy sorrows and destructive ones?
The poem ends with the speaker trying to "shift the burden sideways." What might that mean? How do you help someone dealing with a trial you can't take away or a problem you can't solve?