I have a type of bipolar that swings up and down all day long. There are significant mood swings within a day, within a week, within a month. I go through at least four major episodes a year. That's really the definition of bipolar rapid cycle. But I have ultra-rapid, so I have tiny little episodes all day long.

I have not lost my fascination with death. I have not become a noticeably less intense person. I have not, nor will I ever, completely lose the longing for that something, that thing that I believe will fill an emptiness inside me. I do believe that the emptiness was made greater by the things that I did to myself.

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

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?

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.

You wake up one morning and there it is, sitting in an old plaid bathrobe in your kitchen, unpleasant and unshaved. You look at it, heart sinking. Madness is a rotten guest.

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.