In her presence, I was reminded again of why I was an anoretic: fear. Of my needs, for food, for sleep, for touch, for simple conversation, for human contact, for love. I was an anoretic because I was afraid of being human. Implicit in human contact is the exposure of the self, the interaction of the selves. The self I'd had, once upon a time, was too much. Now there was no self at all. I was a blank.

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.

The idea began to sink in, more than it ever had, that I might be crazy, in the traditional sense of the word. That I might be, forever and ever amen, a Crazy Person. That's what we'd suspected all along, what I'd been working so hard to disprove, what might be true. I preferred, by far, being dead.

• Eating disorders are addictions. You become addicted to a number of their effects. The two most basic and important: the pure adrenaline that kicks in when you're starving—you're high as a kite, sleepless, full of a frenetic, unstable energy—and the heightened intensity of experience that eating disorders initially induce. At first, everything tastes and smells intense, tactile experience is intense, your own drive and energy themselves are intense and focused. Your sense of power is very, very intense. You are not aware, however, that you are quickly becoming addicted.

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.

He leaned down and whispered to me: No matter how thin you get, no matter how short you cut your hair, it's still going to be you underneath. And he let go of my arm and walked back down the hall.

Bear in mind, people with eating disorders tend to be both competitive and intelligent. We are incredibly perfectionistic. We often excel in school,athletics,artistic pursuits. We also tend to quit without warning. Refuse to go to school,drop out,quit jobs,leave lovers,move,lose all our money. We get sick of being impressive. Rather,we tire of having to seem impressive. As a rule,most of us never really believed we were any good in the first place.