The idea of my future simultaneously thrilled and terrified me, like standing at the lip of a very sheer cliff- I could fly, or fall. I didn't know how to fly, and I didn't want to fall. So I backed away from the cliff and went in search of something that had a clear, solid trajectory for me to follow, like hopscotch.

One really ought to be afraid of self-torture. But it tempted me. It begged. The dark place that my mind was fast becoming blends, in my memory, with the dark womb of church: the chant, the fugue of prayer, the strange erotic energy that carving a very small cross into my thigh with a nail had brought.

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.

I'm a driven perfectionist, very self-critical.

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.

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?

All of us have theories about the world and about ourselves. We will go to great lengths to prove ourselves right because it keeps the world in our head coherent and understandable.