My relationships with both my mother and father are good. We spent several difficult years hashing over the problems and the past, and worked out a fairly solid middle ground. I wouldn't say my relationship with either of them - they're no longer together - is exactly typical, but that would be difficult after all we went through.

My bones are brittle, my heart weak and erratic, my esophagus and stomach riddled with ulcers, my reproductive system shot, my immune system useless... I'm not going to have a happy ending.

My brain sometimes departs from the agreed-upon reality, and my private reality is a very lonely place. But in the end, I'm not sure I wish I'd never gone there.

I don't think people realize, when they're just getting started on an eating disorder or even when they're in the grip of one, that it is not something that you just "get over." For the vast majority of eating-disordered people, it is something that will haunt you for the rest of your life. You may change your behavior, change your beliefs about yourself and your body, give up that particular way of coping in the world. You may learn, as I have, that you would rather be a human than a human's thin shell. You may get well. But you never forget.

• 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.

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

It's really interesting to me how all of us can experience the exact same event, and yet come away with wildly disparate interpretations of what happened. We each have totally different ideas of what was said, what was intended, and what really took place.