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.

After a lifetime of silence, it is difficult then to speak.

When I returned, everything was different. Everything was calm, and I felt very clean. Everything was in order. Everything was as it should be. I had a secret. It was a guilty secret, certainly. But it was MY secret. I had something to hold on to. It was company. It kept me calm. It filled me up and emptied me out.

If I had been a different sort of person, maybe less impressionable, less intense, less fearful, less utterly dependent upon the perceptions of others - maybe then I would not have bought the cultural party line that thinness is the be-all and end-all of goals. Maybe if my family had not been in utter chaos most of the time, maybe if my parents were a little better at dealing with their own lives maybe if I'd gotten help sooner, or if I'd gotten different help, maybe if I didn't so fiercely cherish my secret, or if I were not such a good liar, or were not quite so empty inside... maybe.

And so I am feeling numb. It's a curious feeling, and I get it all the time. My attention to the world around me disappears, and something starts to hum inside my head. Far off, voices try to bump up against me, but I repel them. My ears fill up with water and I focus on the humming in my head.

• 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.

The biggest fear of my life is living. My second biggest fear is dying.