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.

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

Even at this stage, my preparations were like strapping on a parachute in an airplane that was about to crash; the whole time I was preparing to hurl myself out the door, I clung to the hope that something would happen at the last minute to forestall that terrible necessity I felt-not hostility, as psychiatric texts would say, or vengeful rage, or a desire for attention. This was done in secret, out of a need to alleviate pain which was as implacable as thirst.

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.

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.

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.