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.

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.

Soon madness has worn you down. It’s easier to do what it says than argue. In this way, it takes over your mind. You no longer know where it ends and you begin. You believe anything it says. You do what it tells you, no matter how extreme or absurd. If it says you’re worthless, you agree. You plead for it to stop. You promise to behave. You are on your knees before it, and it laughs.

My brain sometimes departs from the agreed-upon reality, and my private reality is a very lonely place. But in the end, I'm not sure I wish I'd never gone there.

When I returned, everything was different. Everything was calm, and I felt very clean. Everything was in order. Everything was as it should be. I had a secret. It was a guilty secret, certainly. But it was MY secret. I had something to hold on to. It was company. It kept me calm. It filled me up and emptied me out.

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.

For me, the first sign of oncoming madness is that I'm unable to write.