“And she keeps saying, how can you do this to me? And i want to scream, what do you mean, how can I do this to you? Aren't we confusing our pronouns here? The question, really, is How could I do this to myself?”

“If I were another person, I go on, I wouldn’t want to deal with me, I don’t want to deal with me, It’s so hopeless, I want out of this life. I really do. I keep thinking that if I could just get a grip of myself, I could be all right again. I keep thinking I’m driving myself crazy, but I swear, I swear to God, I have no control. It’s so awful, It’s like some demons have taken over my mind. And nobody believes me, Everybody thinks I could be better if I wanted to. But I can’t be the old Lizzy anymore, I can’t be myself anymore, I mean, actually, I am being myself right now and it’s horrible.”

“And it seemed hard to believe that these people who were so close to me couldn’t see how desperate I was, or if they could they didn’t care enough to do anything about it, or if they cared enough to do anything about it they didn’t believe there was anything they could do, not knowing—or not wanting to know—that their belief might have been the thing that made the difference.”

“I intend to scream, shout, race the engine, call when I feel like it, throw tantrums in Bloomingdale's if I feel like it and confess intimate details about my life to complete strangers. I intend to do what I want to do and be whom I want to be and answer only to myself: that is, quite simply, the bitch philosophy...”

“Jesus, I wondered, what do you do with pain so bad it has no redeeming value? It cannot even be alchemized into art, into words, into something you can chalk up to an interesting experience because the pain itself, its intensity, is so great that it has woven itself into your system so deeply that there is no way to objectify or push it outside or find its beauty within. That is the pain I’m feeling now. It's so bad, it's useless. The only lesson I will ever derive from this pain is how bad pain can be.”

“They have no idea what a bottomless pit of misery I am. They will have to do more and more and more...but they don’t know how enormous my need is. They don’t know how much I will demand from them before I can even think about getting better. They do not know that this is not some practice fire drill meant to prepare them for the real inferno, because the real thing is happening right now. All the bells say: too late. Its much too late and I’m sure that they are still not listening. They still don’t know that they need to do more and more and more, they need to try to get through to me until they haven’t slept or eaten or breathed fresh air for days, they need to try until they’ve died for me. They have to suffer as I have. And even after they’ve done that, there will still be more. They will have to rearrange the order of the cosmos, they will have to end the cold war...they will have to cure hunger in Ethiopia, and end the sex trade in Thailand and stop torture in Argentina. They will have to do more then they ever thought they could if they want me to stay alive. They have no idea how much energy and exasperation I am willing to suck out of them until I feel better. I will drain them and drown them until they know how little of me there is left even after I’ve taken everything they’ve got to give me because I hate them for not knowing.”

“It's being a grown up, which I never figured out how to do, scrubbing the tub, and remembering to eat and shampoo my hair. It's the basics: I can write a whole book, but I cannot handle the basics.”