We were at another funeral party. I wasn’t sure who had died this time, but it was a suicide, and upsetting because it was completely out of season. No on killed themselves in summertime. It was rude.

It is, at the most basic level, a bundle of contradictions: a desire for power that strips you of all power. A gesture of strength that divests you of all strength.

Madness strips you of memory and leaves you scrabbling around on the floor of your brain for the snatches and snippets of what happened, what was said, and when.

We think of bulimia and anorexia as either a bizarre psychosis, or as a quirky little habit, a phase, or as a thing that women just do. We forget that it is a violent act, that it bespeaks a profound level of anger toward and fear of the self.

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.

My god! people say. You have so much self-control! And later: My god. You're so, so sick. When people say this, they turn their heads, you've won your little game. You have proven your thesis that no-body-loves-me-every-body-hates-me, guess-I'll-just-eat-worms. You get to sink back into your hospital bed, shrieking with righteous indignation. See? you get to say. I knew you'd give up on me. I knew you'd leave.

There is, in fact, an incredible freedom in having nothing left to lose.