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.

But in some ways, the most significant choices one makes in life are done for reasons that are not all that dramatic, not earth-shaking at all; often enough, the choices we make are, for better or for worse, made by default.

You never come back, not all the way. Always there is an odd distance between you and the people you love and the people you meet, a barrier thin as the glass of a mirror, you never come all the way out of the mirror; you stand, for the rest of your life, with one foot in this world and no one in another, where everything is upside down and backward and sad.

After a lifetime of silence, it is difficult then to speak.

The term “starvation diet” refers to 900 calories a day. I was on one-third of a starvation diet. What do you call that? One word that comes to my mind: “suicide.

When I returned, everything was different. Everything was calm, and I felt very clean. Everything was in order. Everything was as it should be. I had a secret. It was a guilty secret, certainly. But it was MY secret. I had something to hold on to. It was company. It kept me calm. It filled me up and emptied me out.

Were I to put myself on... one of those online dating things, I would not include in my profile that I'm regularly hospitalized for psychosis. But I do know that when I get really bad, there is a place for me to go where I will feel better.