People with eating disorders tend to be very diametrical thinkers – everything is the end of the world, everything rides on this one thing, and everyone tells you you're very dramatic, very intense, and they see it as an affectation, but it´s actually just how you think. It really seems to you that the sky will fall if you are not personally holding it up. On the one hand, this is sheer arrogance; on the other hand, this is a very real fear. And it isn't that you ignore the potential repercussions of your actions. You don't think there are any. Because you are not even there.

I am feeling fine. I remember these words and recite them. These are the things you say when asked how you are. After all, it would be odd to say: I'm not feeling. Or, more to the point: I'm not, I have ceased to be. Where am I?

I don't think people realize, when they're just getting started on an eating disorder or even when they're in the grip of one, that it is not something that you just "get over." For the vast majority of eating-disordered people, it is something that will haunt you for the rest of your life. You may change your behavior, change your beliefs about yourself and your body, give up that particular way of coping in the world. You may learn, as I have, that you would rather be a human than a human's thin shell. You may get well. But you never forget.

I have not lost my fascination with death. I have not become a noticeably less intense person. I have not, nor will I ever, completely lose the longing for that something, that thing that I believe will fill an emptiness inside me. I do believe that the emptiness was made greater by the things that I did to myself.

There's childhood and early onset bipolar, but it transitions in your early adulthood into something a little bit different, and extremely severe. It was at that time that my impulse control just went out the window. Impulse control when you're manic just disappears.

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

I wish I could find words to explain what this kind of cold is like- the cold that has somehow gotten in underneath your skin and is getting colder and colder inside you.