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

There is never a sudden revelation, a complete and tidy explanation for why it happened, or why it ends, or why or who you are. You want one and I want one, but there isn't one. It comes in bits and pieces, and you stitch them together wherever they fit, and when you are done you hold yourself up, and still there are holes and you are a rag doll, invented, imperfect. And yet you are all that you have, so you must be enough. There is no other way.

Hospitalizations in general are blurry. The days are the same, precisely the same. Nothing changes. Life melts down to a simple progression of meals. They become a way of life fairly quickly. You may welcome this transition. It may seem inevitable to you. You have been removed from the world. It is all right, in a way, because there is nothing so sure, so safe, as routine.

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.

In her presence, I was reminded again of why I was an anoretic: fear. Of my needs, for food, for sleep, for touch, for simple conversation, for human contact, for love. I was an anoretic because I was afraid of being human. Implicit in human contact is the exposure of the self, the interaction of the selves. The self I'd had, once upon a time, was too much. Now there was no self at all. I was a blank.

In that six months, so much happened that death seemed, primarily, inconvenient. The trial period was extended. I seem to keep extending it. There are many things to do. There are books to write and naps to take. There are movies to see and scrambled eggs to eat. Life is essentially trivial. You either decide you will take the trite business of life and give yourself the option of doing something really cool, or you decide you will opt for the Grand Epic of eating disorders and dedicate your life to being seriously trivial.