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.

My god! people say. You have so much self-control! And later: My god. You're so, so sick. When people say this, they turn their heads, you've won your little game. You have proven your thesis that no-body-loves-me-every-body-hates-me, guess-I'll-just-eat-worms. You get to sink back into your hospital bed, shrieking with righteous indignation. See? you get to say. I knew you'd give up on me. I knew you'd leave.

People take the feeling of full for granted.

Hospitalizations in general are blurry. The days are the same, precisely the same. Nothing changes. Life melts down to a simple progression of meals. They become a way of life fairly quickly. You may welcome this transition. It may seem inevitable to you. You have been removed from the world. It is all right, in a way, because there is nothing so sure, so safe, as routine.

• 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.

Recovery isn’t easy, at first. It takes time. It takes more work, sometimes, than you think you’re willing to do. But it is worth every hard day, every tear, every terrified moment. It’s worth it, because the trade-off is this: you let go of your eating disorder, and you get back your life.

It's really interesting to me how all of us can experience the exact same event, and yet come away with wildly disparate interpretations of what happened. We each have totally different ideas of what was said, what was intended, and what really took place.