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.

And it's California, where everything is powerfully strange. Everyone wants it to be home. Everyone left where he or she was from with dreams of transformation. Everyone runs away to California at least once, or at least all the lonely, hungry people do.

For a long time I believed the opposite of passion was death. I was wrong. Passion and death are implicit, one in the other. Past the border of a fiery life lies the netherworld. I can trace this road, which took me through places so hot the very air burned the lungs. I did not turn back. I pressed on, and eventually passed over the border, beyond which lies a place that is wordless and cold, so cold that it, like mercury, burns a freezing blue flame.

The idea began to sink in, more than it ever had, that I might be crazy, in the traditional sense of the word. That I might be, forever and ever amen, a Crazy Person. That's what we'd suspected all along, what I'd been working so hard to disprove, what might be true. I preferred, by far, being dead.

I think many people with a chronic illness would prefer not to have their chronic illness, simply because it's high maintenance.

Falling in love happens so suddenly that it seems, all at once, that you have always been in love.

• 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.