The brief relief of seeing other people when I leave my room turns into a desperate need to be alone, and then being alone turns into a terrible fear that I will have no friends, I will be alone in this world and in my life. I will eventually be so crazy from this black wave, which seems to be taking over my head with increasing frequency, that one day I will just kill myself, not for any great, thoughtful existential reasons, but because I need immediate relief.

Mental illness is so much more complicated than any pill that any mortal could invent

As soon as I was out in the street, I realized I didn't want to be alone after all, I realized I didn't want to be anything at all.

I become one of those people who walks alone in the dark at night while others sleep or watch Mary Tyler Moore reruns or pull all-nighters to finish up some paper that's due first thing tomorrow. I always carry lots of stuff with me wherever I roam, always weighted down with books, with cassettes, with pens and paper, just in case I get the urge to sit down somewhere, and oh, I don't know, read something or write my masterpiece. I want all my important possessions, my worldly goods, with me at all times. I want to hold what little sense of home I have left with me always.

I want to explain how exhausted I am. Even in my dreams. How I wake up tired. How I’m being drowned by some kind of black wave.

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.

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.