“If you are chronically down, it is a lifelong fight to keep from sinking ”

“Getting help for substance abuse can be reduced to the deceptively simple focus of ‘keeping away from the dope.’ But what does getting help with depression mean? Learning to keep away from your own mind?”

“Doing nothing is opting for the sweetness of stillness...Instead of fighting with that which you cannot control, you might as well just see it through...”

“In a typical mental health catch-22, the alienating nature of depression tends to keep its sufferers from finding their way to the very support groups that might help them.”

“I wonder if any of them can tell from just looking at me that all I am is the sum total of my pain, a raw woundedness so extreme that it might be terminal. It might be terminal velocity, the speed of the sound of a girl falling down to a place from where she can't be retrieved. What if I am stuck down here for good?”

“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?”

“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.”