I more seriously considered publishing it under a pseudonym than I considered publishing it as fiction. I think the decision to write it as nonfiction happened at the very outset of the process, because the overwhelming impetus for writing this book was to understand what the experience meant, and to override my own reductions and rationalizations, whatever story I had that was not true. It didn't sit well with me and I needed to answer that. That's sort of the reason I write everything.

When you conceal inner reality, this pressure builds. You often don't expose yourself until it reaches extremity, a breaking point, and what emerges is a dramatic shift - at least in the eyes of others, from whom you've hidden the truth. So, dropping out of high school was like that for me. I was fine, I got straight As, I had friends, and then boom, I was like, I'm done.

I could not kick heroin to save my life, literally, until I started telling my secrets. It was some of the clearest evidence I've ever found of anything. It was the only immediate change in behavior I've ever undergone. I told the most frightening truths, and I was free.

I have replaced my instinct for secrecy with an instinct for confession.

The craft work becomes a mediator between me and my secrets, between me and the listener.

I think that's the job of the writer, right? Not to introduce new ideas or feelings, but to name the ones we know most intimately but are afraid of speaking, or don't have the words. That's what I find most powerful anyway.

Children's stories force logic upon the gruesome facts of our lives. They mirror our troubles and submit them to a chain of causality.