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.

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.

I was perpetually grief-stricken when I finished a book, and would slide down from my sitting position on the bed, put my cheek on the pillow and sigh for a long time. It seemed there would never be another book. It was all over, the book was dead. It lay in its bent cover by my hand. What was the use? Why bother dragging the weight of my small body down to dinner? Why move? Why breathe? The book had left me, and there was no reason to go on.

Madness strips you of memory and leaves you scrabbling around on the floor of your brain for the snatches and snippets of what happened, what was said, and when.

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] learned ... that friends are a good source of food and soul when one has not yet gotten the hang of cooking or living (as opposed to dying) alone. That nothing-not booze, not love, not sex, not work, not moving from state to state-will make the past disappear. Only time and patience heal things. I learned that cutting up your arms in an attempt to make the pain move from inside to outside, from soul to skin, is futile. That death is a cop-out. I tried all of these things.

Because I'm not, in fact, depressed, Prozac makes me manic and numb - one of the reasons I slice my arm in the first place is that I'm coked to the gills on something utterly wrong for what I have.