“One of the terrible fallacies of contemporary psychotherapy is that if people would just say how they felt, a lot of problems could be solved. ”

“...occasionally I wished I could walk through a picture window and have the sharp, broken shards slash me to ribbons so I would finally look like I felt.”

“In those pamphlets that they give at mental health centers where they list the ten or so symptoms that would indicate a clinical depression, 'suicide threats' or even simple 'talk of suicide' is considered cause for concern. I guess the point is that what's just talk one day may become a real activity the next. So perhaps after years of walking around with these germinal feelings, these raw thoughts, these scattered moments of saying I wish I were dead, eventually I too, sooner or later, would succumb to the death urge. In the meantime, I could withdraw to my room, could hide and sleep as if I were 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.”

“The trouble is that when we get around to solutions, it always seems to come down to Prozac. Or Zoloft. Or Paxil. Deep clinical depression is a disease, one that not only can, but probably should, be treated with drugs. But a low-grade terminal anomie, a sense of alienation or disgust and detachment, the collective horror at a world that seems to have gone so very wrong, is not a job for antidepressants. The trouble is, the big-picture problems that have so many people down are more or less insoluble: As long as people can get divorced they will get divorced; America=s shrinking economy is not reversible; there is no cure for AIDS. So it starts to seem fairly reasonable to anesthetize ourselves in the best possible way. I would like so much to say that Prozac is preventing many people who are not clinically depressed from finding real antidotes to what Hillary Clinton refers to as 'a sleeping sickness of the soul,' but what exactly would those solutions be? I mean, universal health care coverage and a national service draft would be nice, but neither one is going to save us from ourselves. Just as our parents quieted us when we were noisy by putting us in front of the television set, maybe we're now learning to quiet our own adult noise with Prozac. ”

“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?”

“I was, after the breakup, what you call a complete wreck. For the first time in my life, my pain had a focus. Any I just couldn't help myself. I didn't care what anyone thought, I didn't care that all the girls in school would say, See, he finally got wise, I didn't care how stupid I would look with teary mascara stains and purple eyeliner tracks down my cheeks, I didn't care about anything except how this was the worst pain ever. I used to weep for never having anything worth losing, but now I was simply resplendent--puffy, red, hysterical-- with a loss I could identify completely. I felt justified in my sorrow and I couldn't stand the way everything about Zachary seemed to be everywhere: Every staircase we'd necked on and lounge chair we'd chatted on between classes was redolent with memories of him. My God, even the lint that gathered on my clothing and still hadn't come out in the wash reminded me of Zachary. I would burst into tears in class and not bother to excuse myself. I cried on the subway. One day, I got mugged walking to the subway, and figured it was as good an excuse as any to go home and stay there.”