Better to inflict pain on myself than to let other people do it.

Reality is rarely what we imagine. Great and noble things do not always happen for great and noble reasons.

I don't know when the idea of suicide first occurred to me. In some ways, it had been in the back of my mind for years. Yet, oddly, I would never have thought of it as an option. It was the perceived lack of options-the final, unacceptable solution to a grave and insoluble dilemma. I had always thought of it in the same way: If all else fails, if I have nowhere else to turn, I can do this.

A broken leg can be remembered and located: "It hurt right below my knee, it throbbed, I felt sick at my stomach." But mental pain is remembered the way dreams are remembered-in fragments, unbidden realizations, like looking into a well and seeing the dim reflection of your face in that instant before the water shatters.

The anxiety was like poison ivy. It took nothing to set off that mental itch-a chance remark, remembering an event from the day before-but once it started I found it impossible to stop the cycle. My thoughts twisted in a circle, my pulse hammered, I couldn't concentrate.

Having a mood disorder is not synonymous with having artistic talent, but it is true that people in the so-called creative professions-writers, actors, artists, musicians-have a higher than normal incidence of such illnesses, and there are also a disproportionate number of alcoholics in these fields whose drinking may be an attempt to medicate the anxiety of depression.

I yearned to get better; I told myself I was getting better. In fact, the depression was still there, like a powerful undertow. Sometimes it grabbed me, yanked me under; other times, I swam free.