I think this has a powerful message, & the layout works very well .......

I really like the way all the insulting/cruel words are all tangled and interwoven together at the top- having been bullied myself, it reminds me of the way the taunts of other people can sometimes start to merge and occupy your thoughts -while the "words are bullshit. You are beautiful" part is separate and very clearly/neatly laid out, and the contrast
really helps the impact of the message.

I also like the way the paper is more crumpled at the top where the insulting words are (like the impact they can have on a persons self-esteem), and smoother at the bottom
where the reassuring words are.

I don't really have any suggestions, I think it's great the way it is <img src="e.deviantart.net/emoticons/s/s…" width="15" height="15" alt="" title=" (Smile)"/>