For me, the first sign of oncoming madness is that I'm unable to write.

[I] learned ... that friends are a good source of food and soul when one has not yet gotten the hang of cooking or living (as opposed to dying) alone. That nothing-not booze, not love, not sex, not work, not moving from state to state-will make the past disappear. Only time and patience heal things. I learned that cutting up your arms in an attempt to make the pain move from inside to outside, from soul to skin, is futile. That death is a cop-out. I tried all of these things.

All of us have theories about the world and about ourselves. We will go to great lengths to prove ourselves right because it keeps the world in our head coherent and understandable.

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

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.

I know how this feels: the tightening of the chest, the panic, the what-have-I-done-wait-I-was-kidding. Eating disorders linger so long undetected, eroding the body in silence, and then they strike. The secret is out. You're dying.

The madness is there, and will always be there. But it will keep sleeping, as long as I don't wake it up.