“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.”

“Yes, I want to tell her, and maybe I even do say that, but I am crying because whatever gifts, the pieces of good buried inside and under so much that I feel is bad, is wrong, is twisted, are less clear than the ability to hit a ball with a bat and break the scoreboard or do a triple pirouette in the air on ice. My gifts are for life itself, for an unfortunately astute understanding of all the cruelty and pain in the world. My gifts are unspecific. I am an artist manque, someone full of crazy ideas and grandiloquent needs and even a little bit of happiness, but with no particular way to express it. I am like the title character in the film Betty Blue, the woman who is so full of...so full of...so full of something or other-it is unclear what, but a definite energy that can't find its medium-who pokes her own eyes out with a scissors and is murdered by her lover in an insane asylum in the end. She is, and I am becoming, a complete waste. So I cry at the end of The Natural.”

“Madness is too glamorous a term to convey what happens to most people who are losing their minds. That word is too exciting, too literary, too interesting in its connotations, to convey the boredom, the slowness, the dreariness, the dampness of depression…depression is pure dullness, tedium straight up. Depression is, especially these days, an overused term to be sure, but never one associated with anything wild, anything about dancing all night with a lampshade on your head and then going home and killing yourself…The word madness allows its users to celebrate the pain of its sufferers, to forget that underneath all the acting-out and quests for fabulousness and fine poetry, there is a person in huge amounts of dull, ugly agony...Remember that when you’re at the point at which you’re doing something as desperate and violent as sticking your head in an oven, it is only because the life that preceded this act felt even worse. Think about living in depression from moment to moment, and know it is not worth any of the great art that comes as its by-product.”

“I think of pain differently now. There is pain that hurts, pain that is so bad you can no longer feel it. Your body just says 'hold on'.”

“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.”

“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 I know, knew for sure, with an absolute certainty, that this is rock bottom, this what the worst possible thing feels like. It is not some grand, wretched emotional breakdown. It is, in fact, so very mundane:…Rock Bottom is an inability to cope with the commonplace that is so extreme it makes even the grandest and loveliest things unbearable…Rock bottom is feeling that the only thing that matters in all of life is the one bad moment…Rock bottom is everything out of focus. It’s a failure of vision, a failure to see the world how it is, to see the good in what it is, and only to wonder why the hell things look the way they do and not—and not some other way.”