“If you take good care of any disease by eating well, sleeping well, being aware of your health, consciously wanting to be well, not smoking, et cetera, you are doing all the things you should be doing anyway, but somehow having a disease makes them easier to do. A human without a disease is like a ship without a rudder.”

“A world without prejudice, stigma, and discrimination against those who have or are thought to have mental illness would be a better one for everyone. What so-called normal people are doing when they define disease like manic depression or schizophrenia is reassuring themselves that they don't have a thought disorder or an affective disorder, that their thoughts and feelings make perfect sense.”

“Today it’s nice to be able to entertain odd thoughts without having to marry them all. Thank God. I can think whatever the hell I want. Entertaining odd thoughts won’t make you crazy. Refusing to entertain odd thoughts won’t make you well.”

“Note to self: being Kurt's son, being an ex-mental patient, getting into Harvard, having written a book, and being a doctor are all things that in and of themselves do not make a life. If you lean on them too hard, you'll find that there's not much there. But if you add up a lot of things that aren't in and of themselves enough, it almost starts to add up to something....”

“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.”

“Echolalia is a mental disease which makes people immediately repeat things that well people around them say. But Billy didn't really have it. Rumfoord simply insisted, for his own comfort, that Billy had it. Rumfoord was thinking in a military manner: that an inconvenient person, one whose death he wished for very much, for practical reasons, was suffering from a repulsive disease.”

“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.”