• 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.

I grew into it. It grew into me. It and I blurred at the edges, became one amorphous, seeping, crawling thing.

I am often drawn to what appear at first to be 'dark' or 'difficult' subjects, but which, upon further examination, are always and only reflections of the ways human beings attempt, however clumsily, badly, or well, to connect with others.

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.

Hatred is so much closer to love than indifference.

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?

There was a time when I was unable to get out of bed because my body, its muscles eating themselves away, refused to sit up. There was a time when the lies rolled off my tongue with ease, when it was far more important to me to self-destruct than to admit I had a problem, let alone allow anyone to help.