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.

When I was growing up, I always felt there was an expectation that I would do one of two things: be great at something, or go crazy and become a total failure. There is no middle ground where I come from, and I am only now beginning to get a sense that there is a middle ground at all.

I have a type of bipolar that swings up and down all day long. There are significant mood swings within a day, within a week, within a month. I go through at least four major episodes a year. That's really the definition of bipolar rapid cycle. But I have ultra-rapid, so I have tiny little episodes all day long.

I threw up again that night, half-afraid that my eyeballs would explode. But it was, by far, more important that I get rid of dinner. Of course, by then, throwing up was the only way I knew how to deal with fear. That paradox would begin to run my life: to know that what you are doing is hurting you, maybe killing you, and to be afraid of that fact--but to cling to the idea that this will save you, it will, in the end, make things okay.

But new love only lasts so long, and then you crash back into the real people you are, and from as high as we were, it's a very long fall, and we hit the ground with a thud.

Me and my needs were driving my mother away. Me and my needs retreated to my closet, disappeared into fairy tales. I started making up a world where my needs wouldn´t exist at all.

When you're teaching creative nonfiction, it helps to have written about your life in a very open way, because you can say, 'Look, how much are you willing to risk emotionally to write? How careful can you be with the other people you're writing about?