Because I'm not, in fact, depressed, Prozac makes me manic and numb - one of the reasons I slice my arm in the first place is that I'm coked to the gills on something utterly wrong for what I have.

In our absence, the violet early evening light pours in the bay window, filling the still room like water poured into a glass. The glass is delicate. The thin, tight surface of the liquid light trembles. But it does not break. Time does not pass. Not yet.

I mean, we all know the dangers of starving, but bulimia? That can't be that bad. It's only bad when you get really thin. Who worries about bulimics? They're just gross.

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.

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.

We know we need, and so we acquire and eat and eat, past the point of bodily fullness, trying to sate a greater need. Ashamed of this, we turn skeletons into goddesses and look to them as if they might teach us how to not-need.

My brain sometimes departs from the agreed-upon reality, and my private reality is a very lonely place. But in the end, I'm not sure I wish I'd never gone there.