“I can’t quite shake this feeling that we live in a world gone wrong, that there are all these feelings you’re not supposed to have because there’s no reason to anymore. But still they’re there, stuck somewhere, a flaw that evolution hasn’t managed to eliminate yet. I want so badly to feel bad about getting pregnant. But I can’t, don’t dare to. Just like I didn’t dare tell Jack that I was falling in love with him, wanting to be a modern woman who’s supposed to be able to handle the casual nature of these kinds of relationships. I’m never supposed to say, to Jack or anyone else, ‘What makes you think I’m so rich that you can steal my heart and it won’t mean a thing?’ Sometimes I think that I was forced to withdraw into depression, because it was the only rightful protest I could throw in the face of a world that said it was all right for people to come and go as they please, that there were simply no real obligations left. Deceit and treachery in both romantic and political relationships is nothing new, but at one time, it was bad, callous, and cold to hurt somebody. Now it’s just the way things go, part of the growth process. Really nothing is surprising. After a while, meaning and implication detach themselves from everything. If one can be a father and assume no obligations, it follows that one can be a boyfriend and do nothing at all. Pretty soon you can add friend, acquaintance, co-worker, and just about anyone else to the long list of people who seem to be part of your life, though there is no code of conduct that they must adhere to. Pretty soon, it seems unreasonable to be bothered or outraged by much of anything because, well, what did you expect?”

“After a while, meaning and implication detach themselves from everything. One can be a father and assume no obligations, it follows that one can be a boyfriend and do nothing at all. Pretty soon you can add friend, acquaintance, co-worker, and just about anyone else to the long list of people who seem to be part of your life, though there is no code of conduct that they must adhere to. Pretty soon, it seems unreasonable to be bothered or outraged by much of anything because, well, what did you expect? In a world where the core social unit - the family - is so dispensable, how much can anything else mean?”

“Just like I didn't dare tell Jack that I was falling in love with him when I was down in Texas, wanting to be a modern woman who's supposed to be able to handle the casual nature of these kinds of relationships. I'm never supposed to say, to Jack or anyone else, what makes you think I'm so rich that you can steal my heart and it won't mean a thing?”

“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.”

“Some friends don't understand this. They don't understand how desperate I am to have someone say, I love you and I support you just the way you are because you're wonderful just the way you are. They don't understand that I can't remember anyone ever saying that to me. I am so demanding and difficult for my friends because I want to crumble and fall apart before them so that they will love me even though I am no fun, lying in bed, crying all the time, not moving. Depression is all about If you loved me you would.”

“That’s the thing I want to make clear about depression: It’s got nothing at all to do with life. In the course of life, there is sadness and pain and sorror, all of which, in their right time and season, are normal—unpleasant, but normal. Depression is an altogether different zone because it involves a complete absence: absence of affect, absence of feeling, absence of response, absence of interest. The pain you feel in the course of a major clinical depression is an attempt on nature’s part (nature, after all, abhors a vacuum) to fill up the empty space. But for all intents and purposes, the deeply depressed are just the walking, waking dead.”

“That's the problem with reality, that's the fallacy of therapy: It assumes that you will have a series of revelations, or even just one little one, and that these various truths will come to you and will change your life completely. It assumes that insight alone is a transformative force. But the truth is, it doesn't work that way. In real life, every day you might come to some new conclusion about yourself and about the reasoning behind your behavior, and you can tell yourself that this knowledge will make all the difference. But in all likelihood, you're going to keep on doing the same old things. You'll still be the same person. You'll still cling to your destructive, debilitating habits because you emotional tie to them is so strong that the stupid things you are really the only things you've got that keep you centered and connected. They are the only things about you that you you.”