I grew into it. It grew into me. It and I blurred at the edges, became one amorphous, seeping, crawling thing.

I developed a deep, abiding fear of jeans, which I still have. I hold my breath and shut my eyes when I pull on a pair in the dressing room, afraid they will now, as then, get stuck at my hips and there I will stand, absurd, staring at the excess of hips that should, if I were a good person, be „slim“.

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.

Anorexia and bulimia seem to be getting much more common in boys, men, and women of all ages and socioeconomic backgrounds; they are also becoming more common in racial groups previously thought to be impervious to the problem.

When you believe that you are not worthwhile in and of yourself, in the back of your mind you also begin to believe that life is not worthwhile in and of itself. It is only worthwhile insofar as it relates to your crusade. It is a kamikaze mission.

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 do not remember very many things from the inside out. I do not remember what it felt like to touch things, or how bathwater traveled over my skin. I did not like to be touched, but it was a strange dislike. I did not like to be touched because I craved it too much. I wanted to be held very tight so I would not break. Even now, when people lean down to touch me, or hug me, or put a hand on my shoulder, I hold my breath. I turn my face. I want to cry.