If only I had known a year ago what I'd be facing now. Until last year I lived with the innocent arrogance that my life was a simple product of effort, will, and design. But now I am a house of cards, held precariously by the fragile conspiracy of wind, weight, and angle. Perhaps it is best we cannot see into our futures.

I always feel bad laughing at people who act crazy. But sometimes the things they do are so damned funny. I wonder what I'd look like if I slipped a few notches on the mental-health index.

In the psychological literature, depression is often seen as a defense against sadness. But I'll take sadness any day. There is no contest. Sadness carries identification. You know where it's been and you know where it's headed. Depression carries no papers. It enters your country unannounced and uninvited. Its origins are unknown, but its destination always dead-ends in you.

Some struggles are so solitary that they drown in words.

I would never kill myself intentionally. I couldn't do that to my family, my friends ... But to have fate step in and give me a shove, that's a different matter. Then I have the exit, without the guilt. I am ashamed of myself for thinking like this. But more than anything, I am frightened that it makes me feel so much better to think about it. Sometimes it eases the terror, the sense that I am condemned eternally to this hell.

Psychologists call it "free-floating" anxiety. What contradictory words. Anxiety doesn't free-float. It stalks. It attacks. It lands on you with a thud.

People say, "I have heart disease," not "I am heart disease." Somehow the presumption of a person's individuality is not compromised by those diagnostic labels. All the labels tell us is that the person has a specific challenge with which he or she struggles in a highly diverse life. But call someone "a schizophrenic" or "a borderline" and the shorthand has a way of closing the chapter on the person. It reduces a multifaceted human being to a diagnosis and lulls us into a false sense that those words tell us who the person is, rather than only telling us how the person suffers.