You never come back, not all the way. Always there is an odd distance between you and the people you love and the people you meet, a barrier thin as the glass of a mirror, you never come all the way out of the mirror; you stand, for the rest of your life, with one foot in this world and no one in another, where everything is upside down and backward and sad.

And so I am feeling numb. It's a curious feeling, and I get it all the time. My attention to the world around me disappears, and something starts to hum inside my head. Far off, voices try to bump up against me, but I repel them. My ears fill up with water and I focus on the humming in my head.

Somewhere in the back of my brain there exists this certainty: The body is no more than a costume, and can be changed at will. That the changing of bodies, like costumes, would make me into a different character, a character who might, finally, be alright.

My god! people say. You have so much self-control! And later: My god. You're so, so sick. When people say this, they turn their heads, you've won your little game. You have proven your thesis that no-body-loves-me-every-body-hates-me, guess-I'll-just-eat-worms. You get to sink back into your hospital bed, shrieking with righteous indignation. See? you get to say. I knew you'd give up on me. I knew you'd leave.

There is never a sudden revelation, a complete and tidy explanation for why it happened, or why it ends, or why or who you are. You want one and I want one, but there isn't one. It comes in bits and pieces, and you stitch them together wherever they fit, and when you are done you hold yourself up, and still there are holes and you are a rag doll, invented, imperfect. And yet you are all that you have, so you must be enough. There is no other way.

Anorexia and bulimia seem to be getting much more common in boys, men, and women of all ages and socioeconomic backgrounds; they are also becoming more common in racial groups previously thought to be impervious to the problem.

The problem is that you don't just choose recovery. You have to keep choosing recovery, over and over and over again. You have to make that choice 5-6 times each day. You have to make that choice even when you really don't want to. It's not a single choice, and it's not easy.