You wake up one morning and there it is, sitting in an old plaid bathrobe in your kitchen, unpleasant and unshaved. You look at it, heart sinking. Madness is a rotten guest.

I do have faith. I don't have faith that a God exists, nor do I have faith that one does not; I have absolute faith that I do not know, cannot know, am only human, am an infinitesimal creature packed onto a cramped planet crowded with seven billion bodies, and as many yearning hearts, and as many questioning minds.

There is never a sudden revelation, a complete and tidy explanation for why it happened, or why it ends, or why or who you are. You want one and I want one, but there isn't one. It comes in bits and pieces, and you stitch them together wherever they fit, and when you are done you hold yourself up, and still there are holes and you are a rag doll, invented, imperfect. And yet you are all that you have, so you must be enough. There is no other way.

The term “starvation diet” refers to 900 calories a day. I was on one-third of a starvation diet. What do you call that? One word that comes to my mind: “suicide.

In truth, you like the pain. You like it because you believe you deserve it.

I threw up again that night, half-afraid that my eyeballs would explode. But it was, by far, more important that I get rid of dinner. Of course, by then, throwing up was the only way I knew how to deal with fear. That paradox would begin to run my life: to know that what you are doing is hurting you, maybe killing you, and to be afraid of that fact--but to cling to the idea that this will save you, it will, in the end, make things okay.

When you are mad, mad like this, you don't know it. Reality is what you see. When what you see shifts, departing from anyone else's reality, it's still reality to you.