And it's California, where everything is powerfully strange. Everyone wants it to be home. Everyone left where he or she was from with dreams of transformation. Everyone runs away to California at least once, or at least all the lonely, hungry people do.

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.

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.

For me, the first sign of oncoming madness is that I'm unable to write.

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.

• 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.

But new love only lasts so long, and then you crash back into the real people you are, and from as high as we were, it's a very long fall, and we hit the ground with a thud.