Falling in love happens so suddenly that it seems, all at once, that you have always been in love.

• Eating disorders are addictions. You become addicted to a number of their effects. The two most basic and important: the pure adrenaline that kicks in when you're starving—you're high as a kite, sleepless, full of a frenetic, unstable energy—and the heightened intensity of experience that eating disorders initially induce. At first, everything tastes and smells intense, tactile experience is intense, your own drive and energy themselves are intense and focused. Your sense of power is very, very intense. You are not aware, however, that you are quickly becoming addicted.

If I had been a different sort of person, maybe less impressionable, less intense, less fearful, less utterly dependent upon the perceptions of others - maybe then I would not have bought the cultural party line that thinness is the be-all and end-all of goals. Maybe if my family had not been in utter chaos most of the time, maybe if my parents were a little better at dealing with their own lives maybe if I'd gotten help sooner, or if I'd gotten different help, maybe if I didn't so fiercely cherish my secret, or if I were not such a good liar, or were not quite so empty inside... maybe.

It is not a sudden leap from sick to well. It is a slow, strange meander from sick to mostly well. The misconception that eating disorders are a medical disease in the traditional sense is not helpful here. There is no 'cure'. A pill will not fix it, though it may help. Ditto therapy, ditto food, ditto endless support from family and friends. You fix it yourself. It is the hardest thing that I have ever done, and I found myself stronger for doing it. Much stronger.

We turn skeletons into goddesses and look to them as if they might teach us how not to need.

Hospitalizations in general are blurry. The days are the same, precisely the same. Nothing changes. Life melts down to a simple progression of meals. They become a way of life fairly quickly. You may welcome this transition. It may seem inevitable to you. You have been removed from the world. It is all right, in a way, because there is nothing so sure, so safe, as routine.

After a lifetime of silence, it is difficult then to speak.