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.

So many means of self-destruction, so little time.

Were I to put myself on... one of those online dating things, I would not include in my profile that I'm regularly hospitalized for psychosis. But I do know that when I get really bad, there is a place for me to go where I will feel better.

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

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.

You will not stop. The pain is necessary, especially the pain of hunger. It reassures you that you are strong, can withstand anything, that you are not a slave to your body, you don't have to give in to its whining.

But in some ways, the most significant choices one makes in life are done for reasons that are not all that dramatic, not earth-shaking at all; often enough, the choices we make are, for better or for worse, made by default.