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.

Fear that I was very different from everyone else. Fear that deep down inside I was a shallow fraud, that after the revolution or after Jesus came down to straighten everything out, everyone from hippies to hard-hats would unfold and blossom into the beautiful people they were while I would remain a gnarled little wart in the corner, oozing bile and giving off putrid smells.

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.

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

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.

Who but a brazen crazy person would go one-on-one with blank paper or canvas armed with nothing but ideas?

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.