Getting help for substance abuse can be reduced to the deceptively simple focus of ‘keeping away from the dope.’ But what does getting help with depression mean? Learning to keep away from your own mind?

I start to get the feeling that something is really wrong. Like all the drugs put together – the lithium, the Prozac, the desipramine, and Desyrel that I take to sleep at night – can no longer combat whatever it is that was wrong with me in the first place. I feel like a defective model.

When things get unbearable, I wrap myself into a tight ball and shut my eyes. Every muscle in my body is tense. I open my eyes and I'm still where I was when I closed them to escape. Nothing's changed.

Everything's plastic, we're all gonna die.

I thought depression was the part of my character that made me worthwhile. I thought so little of myself, felt that I had such scant offerings to give to the world, that the one thing that justified my existence at all was my agony.

Love is rather impotent and pitiful: My father must have told me a million times how much he loved me, but that emotion - assuming it was even real - hardly had the strength to counter the many other acts of wrong he committed against me. Contrary to romance novels and the love-conquers-all mentality that even those of us who grow up in an era of divorce are - in response to some atavistic instinct - still raised to believe, love is always a product and a victim of circumstances. It is fragile and small.

My life's actually been quite dull; it's not all that glamorous.