“The Doc. Virginia and Simon had told me that Dr. Dale was my doctor. I have a fuzzy recollection of walking up to some doctor-looking person and being totally absorbed by his gold tie clip. I suspected it was the button to end the world so I didn't touch it. I'm pretty sure it was Dr. Dale. I don't know who else would be so tasteless as to walk around a mental hospital wearing the button to end the world.”

“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.”

“It was not easy to go from being one of the seven righteous pillars holding up the whole planet and human race to being just another mental patient. I remember talking to a woman who was ending racism and asking her if it was part of a bigger program or if racism was the whole deal. As someone who had gone back to the beginning of time and dealt with issues of whether or not life itself was a good idea, I wasn’t sure that just getting rid of racism was a big enough prize.....In the eighties when I was called out of retirement to defeat communism, it was over my strenuous objections. “I don’t even dislike communism all that much,” I objected. “It seems so beside the point.” “The Republicans are going to take credit for this and ride it into the ground,” I correctly predicted. After winning many many preliminary rounds which I honestly hoped I’d lose, I was smuggled into what was thought to be just another psychiatric hospital where the Russian bear took one look at me, declined to dance, and the rest is history. My delusional world always felt kind of tinny and hollow, but that never helped me get out of it.”

“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.”

“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.”

“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.”