When I talk to the National Alliance on Mental Illness (NAMI) and other patient support groups, I take questions at the end. At one talk I was asked, "What's the difference between yourself and someone without mental illness?". At another talk I was asked, "How do you make the voices be not so mean?". I wish I knew.

I didn't like the '60s because it was too important what people who had nothing to do with the war thought about it.

Having their feelings make sense is how people get their kicks.

Note to self: being Kurt's son, being an ex-mental patient, getting into Harvard, having written a book, and being a doctor are all things that in and of themselves do not make a life. If you lean on them too hard, you'll find that there's not much there. But if you add up a lot of things that aren't in and of themselves enough, it almost starts to add up to something.

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

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

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.