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

Some people who are obsessed with food become gourmet chefs. Others become eating disorders.

Soon madness has worn you down. It’s easier to do what it says than argue. In this way, it takes over your mind. You no longer know where it ends and you begin. You believe anything it says. You do what it tells you, no matter how extreme or absurd. If it says you’re worthless, you agree. You plead for it to stop. You promise to behave. You are on your knees before it, and it laughs.

Hatred is so much closer to love than indifference.

He leaned down and whispered to me: No matter how thin you get, no matter how short you cut your hair, it's still going to be you underneath. And he let go of my arm and walked back down the hall.

We think of bulimia and anorexia as either a bizarre psychosis, or as a quirky little habit, a phase, or as a thing that women just do. We forget that it is a violent act, that it bespeaks a profound level of anger toward and fear of the self.

My parents say that even as a very, very little kid, the way that I acted was dramatically different from other little kids.