There's childhood and early onset bipolar, but it transitions in your early adulthood into something a little bit different, and extremely severe. It was at that time that my impulse control just went out the window. Impulse control when you're manic just disappears.

I do not remember very many things from the inside out. I do not remember what it felt like to touch things, or how bathwater traveled over my skin. I did not like to be touched, but it was a strange dislike. I did not like to be touched because I craved it too much. I wanted to be held very tight so I would not break. Even now, when people lean down to touch me, or hug me, or put a hand on my shoulder, I hold my breath. I turn my face. I want to cry.

I have never been normal about my body. It has always seemed to me a strange and foreign entity. I don't know that there was ever a time when I was not conscious of it. As far back as I can think, I was aware of my own corporeality, my physical imposition on space.

He leaned down and whispered to me: No matter how thin you get, no matter how short you cut your hair, it's still going to be you underneath. And he let go of my arm and walked back down the hall.

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 you are mad, mad like this, you don't know it. Reality is what you see. When what you see shifts, departing from anyone else's reality, it's still reality to you.

I don't think people realize, when they're just getting started on an eating disorder or even when they're in the grip of one, that it is not something that you just "get over." For the vast majority of eating-disordered people, it is something that will haunt you for the rest of your life. You may change your behavior, change your beliefs about yourself and your body, give up that particular way of coping in the world. You may learn, as I have, that you would rather be a human than a human's thin shell. You may get well. But you never forget.