The way I played music there was the way I wanted to farm, chop wood, cook, make love, raise children. Everything. A lo of it had to do with things I felt while I played. If only I could feel that sense of total absorption in what I was doing when I was doing other things. It was more than absorption, it was spontaneity, competence, a sense of grace and playfulness, of being in touch with an inexhaustible source of energy and beauty.

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.

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 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.

We're here to get each other through this thing, whatever it is.

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.

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