And it seemed hard to believe that these people who were so close to me couldn’t see how desperate I was, or if they could they didn’t care enough to do anything about it, or if they cared enough to do anything about it they didn’t believe there was anything they could do, not knowing—or not wanting to know—that their belief might have been the thing that made the difference.

I have studiously tried to avoid ever using the word 'madness' to describe my condition. Now and again, the word slips out, but I hate it. 'Madness' is too glamorous a term to convey what happens to most people who are losing their minds. That word is too exciting, too literary, too interesting in its connotations, to convey the boredom, the slowness, the dreariness, the dampness of depression.

In my case, I was not frightened in the least bit at the thought that I might live because I was certain, quite certain, that I was already dead.

I wonder if any of them can tell from just looking at me that all I am is the sum total of my pain, a raw woundedness so extreme that it might be terminal. It might be terminal velocity, the speed of the sound of a girl falling down to a place from where she can't be retrieved. What if I am stuck down here for good?

Taking a hypersensitive approach to life had come to seem so much more pure and honest then joining the ranks of the numb masses who could let it all slide by. What I stopped realizing was that if you feel everything intensely, ultimately you feel nothing at all. Everything registers at the same decibel.

I was so scared to give up depression, fearing that somehow the worst part of me was actually all of me.

The most likely person to kill you is your wife, but that probably won't happen. What probably will happen is a million little betrayals of varying degrees of pain, brought on by people you love, the only ones who really can hurt you.