People tend to set themselves up in patterns; something happens, it hurts them, then something similar happens, and - it's happened again! It seems much bigger then, and they get worried and go through life looking for that thing, and because they're so concerned and looking for it, when anything that happens resembles that thing, they're sure it's happening again. So sometimes people think things are repeating even when they're not.

When I was a kid, I did want to be a boy. I didn't like to play with dolls, and most of my friends were kind of sensitive, sissy boys. But as I got older, the mystique of being a girl began to interest me. It was confusing what sexuality was, and the responses of other people, but it didn't make me feel terrified or vulnerable.

The only way to know whats possible is to venture past impossible.

I think, as we go through life, we can sometimes, while still staying essentially true to ourselves, pick up mannerisms or modes of expression that are like curlicues. And there was a lot of that that I recognized sometimes. And I remembered, sometimes dimly, why those phrases felt so tasty to me, why that particular curl felt so good to me. But from my point of view now, it was almost inaccurate. It changed the meaning of what I was saying in a way that it seemed like a distortion.

There isn't going to be anyone to tell you what to do most of the time. It has to be your own decision and you have to learn to trust that, or learn that it's wrong. The hard truth is that there are people who believe they're writers and work hard at it and are sincere about it, but they don't make it. You have to be prepared for that possibility.

Death is a big theme in the book, illness. What is that? It's a fact that human beings - no matter who they are, no matter how healthy or strong or beautiful they are - are going to age and become weak and ugly by a certain standard, and die. And I think that's a terrifying idea for people to get their minds around.

Writing is.... being able to take something whole and fiercely alive that exists inside you in some unknowable combination of thought, feeling, physicality, and spirit, and to then store it like a genie in tense, tiny black symbols on a calm white page. If the wrong reader comes across the words, they will remain just words. But for the right readers, your vision blooms off the page and is absorbed into their minds like smoke, where it will re-form, whole and alive, fully adapted to its new environment.