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It can also be interpreted in a more general sense as refering to negative thoughts going through her mind.
She thinks her depression makes others worry, so when people know about it, shes upset that she is being a drain on others, even if shes not. She thinks that everything is her fault, even when its not. She knows its not rational, but its like having a voice telling you otherwise all the time. So that could be one possible interpretation of "get out of my head".
Other one is probably just Monika messing with her. Monika has been making Sayori's depression worse both by directly talking to her and also by messing with her character files. In act 2, Yuri mentions multiple times that shes aware that Monika is messing with her and always watching, though she doesnt understand how. They probably have a small amount of awareness around their minds being manipulated.
That no one cares. That you make everyone's lives worse. You burden them with concerns and worries.
That's what I got out of it. Her confession to the protagonist likely made the thoughts much worse, as well as Monika's words. She wanted the thoughts out of her head and when she didn't find a way, she sealed her fate.
Because she thought it was the only way to make everyone happy.