And if you're lucky enough to survive going crazy and get back to the point where you can pass for normal, it builds a question into the rest of your life. You have to forgive people for wondering, 'How all right can he be?'

Are people who have been crazy held to unfair standards?Of course, but it's not in your best interest to complain. If you're paranoid and people are looking at you funny it's best to let it pass. Psychotic people have an uncanny knack for making their own worst dreams come true. Depressing things happen to depressed people way beyond what you would expect from random distribution.

What occurs to people when they read Kurt [Vonnegut] is that things are much more up for grabs than they thought they were. The world is a slightly different place just because they read a damn book. Imagine that.

Colds, ulcers, flu, and cancer are things we get. Schizophrenia is something we are.

It's regrets that make painful memories. When I was crazy I did everything just right.

I don't think the people today who start hearing voices, stop eating and sleeping, and run amuck are likely to get good treatment. Having more knowledge, better diagnostic capabilities, better medications with fewer side effects, can't make up for the fact that most patients are being treated by doctors, therapists, and hospitals, who are operating under constraints and incentives that reward non-treatment, non-hospitalization, non-therapy, non-follow-up, non-care. Lost to follow-up is the best outcome a health insurer can hope for.

Without writers fooling themselves about what their books might accomplish there would be no books at all.