I either want to be completely recovered or completely emaciated. It's the in between that I can't stand, the limbo of failure where you know that you haven't done your best at one or the other: dying or living.

Some people who are obsessed with food become gourmet chefs. Others become eating disorders.

Madness will push you anywhere it wants. It never tells you where you're going, or why. It tells you it doesn't matter. It persuades you. It dangles something sparkly before you, shimmering like that water patch on the road up ahead. You will drive until you find it, the treasure, the thing you most desire. You will never find it. Madness may mock you so long you will die of the search. Or it will tire of you, turn its back, oblivious as you go flying. The car is beside you, smoking, belly-up, still spinning its wheels.

My parents say that even as a very, very little kid, the way that I acted was dramatically different from other little kids.

In truth, you like the pain. You like it because you believe you deserve it.

Madness is not what it seems. Time stops. All my life I've been obsessed with time, its motion and velocity, the way it works you over, the way it rushes you onward, a pebble turning in a brook. I've always been obsessed with where I'd go, and what I'd do, and how I would live. I've always harbored a desperate hope that I would make something of myself. Not then. Time stopped seeming so much like the thing that would transform me into something worthwhile and began to be inseparable from death. I spent my time merely waiting.

• This seems impossible to me. It seems biologically impossible to stay the same size, although I must. It seems one must always be either bigger or smaller than they were at some arbitrary point in time to which all things are compared. The panties that are possibly tighter than they were. When? You can't say when. But you are absolutely positive no question that it's true.