“What if I'm so broken I can never do something as basic as feed myself? Do you realize how twisted that is? It amazes me sometimes that humans still exist. We're just animals, after all. And how can an animal get so removed from nature that it loses the instinct to keep itself alive?”

“Before there was Cocaine or vodka or sex or any of that, there was fantasy. There was escape. That was my first addiction. I remember being a little kid and imagining everything different, myself different. How did I get the idea in my head at age eight that everything was better somewhere else? Why would a child have a hole inside that can't get full no matter what she does? The real world could never make me happy, so I retreated to the world inside my head. And as I grew, as the real world proved itself more and more painful, the fantasy world expanded.”

“I don't know if anyone can ever really explain why they believe in someone. But I do. I believe in you. I hope that's worth something.”

“I said just let me try one more time and she said, "THAT'S ENOUGH, ISABEL," again, and she could just say it over and over and it would never get through my thick skull because I'm always wanting and wanting because nothing is ever enough you are never enough I am never enough I am never enough I AM NEVER ENOUGH.”

“What if I can't ever be who you want me to be? What if I keep letting you down?”

“Even though I'm sleeping again, everything still feels a little rickety, like I'm here but not quite here, like I'm just a stand-in for my real self, like someone could just reach over and pinch me and I'd deflate. I thought I was feeling better, but I don't know anymore.”

“This is the kind of thing that makes sense to them; this is a language they know. They know what to do with`disease'. They know how to attach a doctor's medical descriptions to hope.”