My parents say that even as a very, very little kid, the way that I acted was dramatically different from other little kids.

When I was growing up, I always felt there was an expectation that I would do one of two things: be great at something, or go crazy and become a total failure. There is no middle ground where I come from, and I am only now beginning to get a sense that there is a middle ground at all.

My bones are brittle, my heart weak and erratic, my esophagus and stomach riddled with ulcers, my reproductive system shot, my immune system useless... I'm not going to have a happy ending.

I don't think people realize, when they're just getting started on an eating disorder or even when they're in the grip of one, that it is not something that you just "get over." For the vast majority of eating-disordered people, it is something that will haunt you for the rest of your life. You may change your behavior, change your beliefs about yourself and your body, give up that particular way of coping in the world. You may learn, as I have, that you would rather be a human than a human's thin shell. You may get well. But you never forget.

I have not lost my fascination with death. I have not become a noticeably less intense person. I have not, nor will I ever, completely lose the longing for that something, that thing that I believe will fill an emptiness inside me. I do believe that the emptiness was made greater by the things that I did to myself.

People take the feeling of full for granted.

I have never been normal about my body. It has always seemed to me a strange and foreign entity. I don't know that there was ever a time when I was not conscious of it. As far back as I can think, I was aware of my own corporeality, my physical imposition on space.