My mother, who was radiant, young, and beautiful even as she lay dying, heard voices and saw visions, but she always managed to make friends with them and was much too charming to hospitalize even at her craziest.

Well, I thought, last night I paid my dues. I faced death. Now I can stay.

Knowing that you're crazy doesn't make the crazy things stop happening.

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.

The most radical, audacious thing to think is that there might be some point to working hard and thinking hard and reading hard and writing hard and trying to be of service

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?'

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.