Bear in mind, people with eating disorders tend to be both competitive and intelligent. We are incredibly perfectionistic. We often excel in school,athletics,artistic pursuits. We also tend to quit without warning. Refuse to go to school,drop out,quit jobs,leave lovers,move,lose all our money. We get sick of being impressive. Rather,we tire of having to seem impressive. As a rule,most of us never really believed we were any good in the first place.

• 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.

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

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.

If I had been a different sort of person, maybe less impressionable, less intense, less fearful, less utterly dependent upon the perceptions of others - maybe then I would not have bought the cultural party line that thinness is the be-all and end-all of goals. Maybe if my family had not been in utter chaos most of the time, maybe if my parents were a little better at dealing with their own lives maybe if I'd gotten help sooner, or if I'd gotten different help, maybe if I didn't so fiercely cherish my secret, or if I were not such a good liar, or were not quite so empty inside... maybe.

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

Having a normal person around me made it poingnantly clear to me that I was out of control.