There is, in fact, an incredible freedom in having nothing left to lose.

Never, never underestimate the power of desire. If you want to live badly enough, you can live. The great question, at least for me, was: How do I decide I want to live?

When you're teaching creative nonfiction, it helps to have written about your life in a very open way, because you can say, 'Look, how much are you willing to risk emotionally to write? How careful can you be with the other people you're writing about?

I am feeling fine. I remember these words and recite them. These are the things you say when asked how you are. After all, it would be odd to say: I'm not feeling. Or, more to the point: I'm not, I have ceased to be. Where am I?

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.

When you believe that you are not worthwhile in and of yourself, in the back of your mind you also begin to believe that life is not worthwhile in and of itself. It is only worthwhile insofar as it relates to your crusade. It is a kamikaze mission.

I grew into it. It grew into me. It and I blurred at the edges, became one amorphous, seeping, crawling thing.