• Eating disorders are addictions. You become addicted to a number of their effects. The two most basic and important: the pure adrenaline that kicks in when you're starving—you're high as a kite, sleepless, full of a frenetic, unstable energy—and the heightened intensity of experience that eating disorders initially induce. At first, everything tastes and smells intense, tactile experience is intense, your own drive and energy themselves are intense and focused. Your sense of power is very, very intense. You are not aware, however, that you are quickly becoming addicted.

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.

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?

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

I was perpetually grief-stricken when I finished a book, and would slide down from my sitting position on the bed, put my cheek on the pillow and sigh for a long time. It seemed there would never be another book. It was all over, the book was dead. It lay in its bent cover by my hand. What was the use? Why bother dragging the weight of my small body down to dinner? Why move? Why breathe? The book had left me, and there was no reason to go on.

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

The idea began to sink in, more than it ever had, that I might be crazy, in the traditional sense of the word. That I might be, forever and ever amen, a Crazy Person. That's what we'd suspected all along, what I'd been working so hard to disprove, what might be true. I preferred, by far, being dead.