“I saw a study the other day showing that some atypical anti-psychotic was at least as good as mood stabilizers in preventing suicide. It’s a very good thing to decrease suicide but we should care at least a little if I’m not killing myself because I feel better or if I just can’t remember where I put the damn gun.”

“People with mental illness are very much like people without mental illness only more so. What we lose with a psychotic episode is the comforting assurance that we can’t lose our mind. When most people look down they see solid ground. When I look down, I’m not so sure.Crazy thoughts are not the problem. Everyone has crazy thoughts. Hallucinations and delusions tend to catch the attention but aren’t the problem. The problem is that the world becomes discontinuous. We can’t attend to the world and take care of ourselves. So others try to take care of us and they do an imperfect job of it. There is no substitute for being well.”

“The other day a patient told me that he had gotten into what was a very good college. 'It's not Harvard,' he said. 'Harvard's not Harvard either,' I answered.”

“The first meeting I really remember with the good doctor was when I was starting to be able to speak English again and making a brave attempt to regain some of my dignity. Trying to be very sane, I went up to him and asked if he was my doctor. He said he didn't think so."You're Dr. Dale, aren't you?""Why, Mark, of course. I didn't recognize you with clothes on." He had a talent for saying just the right thing.”

“I was back to being polite, the well-tempered paranoid. I didn't have much of a choice. If I wasn't polite, they could stick me with those needles or put me back in that little room or take away my visitor privileges or any number of other things. Besides, there didn't seem to be any urgency or anything to be gained by not being polite, the way there had been before. So I was polite. There was time.”

“I don’t think the people today who start hearing voices, stop eating and sleeping, and run amuck are likely to get good treatment. Having more knowledge, better diagnostic capabilities, better medications with fewer side effects, can’t make up for the fact that most patients are being treated by doctors, therapists, and hospitals, who are operating under constraints and incentives that reward non-treatment, non-hospitalization, non-therapy, non-follow-up, non-care. Lost to follow-up is the best outcome a health insurer can hope for.”

“The way I played music there was the way I wanted to farm, chop wood, cook, make love, raise children. Everything. A lo of it had to do with things I felt while I played. If only I could feel that sense of total absorption in what I was doing when I was doing other things. It was more than absorption, it was spontaneity, competence, a sense of grace and playfulness, of being in touch with an inexhaustible source of energy and beauty.”