That's the thing about depression: A human being can survive almost anything, as long as she sees the end in sight. But depression is so insidious, and it compounds daily, that it's impossible to ever see the end. The fog is like a cage without a key.

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?

Depression is about as close as you get to somewhere between dead and alive, and it's the worst.

Jesus, I wondered, what do you do with pain so bad it has no redeeming value? It cannot even be alchemized into art, into words, into something you can chalk up to an interesting experience because the pain itself, its intensity, is so great that it has woven itself into your system so deeply that there is no way to objectify or push it outside or find its beauty within. That is the pain I’m feeling now. Its so bad, its useless. The only lesson I will ever derive from this pain is how bad pain can be.

Belief is a good thing in principle, but an annoying thing in human beings.

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.

My imagination, my ability to understand the way love and people grow over time, how passion can surprise and renew, utterly failed me.