“At a certain point, an eating disorder ceases to be "about" any one thing. It stops being about your family, or your culture. Very simply, it becomes an addiction not only emotionally but also chemically. And it becomes a crusade. If you are honest with yourself, you stop believing that anyone could "make" you do such a thing— who, your parents? They want you to starve to death? Not likely. Your environment? It couldn't careless. You are also doing it for yourself. It is a shortcut to something many women without an eating disorder have gotten: respect and power. It is a visual temper tantrum. You are making an ineffective statement about this and that, a grotesque, self-defeating mockery of cultural standards of beauty, societal misogyny. It is a blow to your parents, at whom you are pissed.And it is so very seductive. It is so reassuring, so all-consuming, so entertaining.At first.”

“• Eating disorders are addictions. You become addicted to a number of their effects. The two most basic and important: the pure adrenaline that kicks in when you're starving—you're high as a kite, sleepless, full of a frenetic, unstable energy—and the heightened intensity of experience that eating disorders initially induce. At first, everything tastes and smells intense, tactile experience is intense, your own drive and energy themselves are intense and focused. Your sense of power is very, very intense. You are not aware, however, that you are quickly becoming addicted.”

“The leap of faith is this: You have to believe, or at least pretend you believe until you really believe it, that you are strong enough to take life face on. Eating disorders, on any level, are a crutch. They are also an addiction and illness, but there is no question at all that they are quite simply a way of avoiding the banal, daily, itchy pain of life. Eating disorders provide a little drama, they feed into the desire for constant excitement, everything becomes life-or-death, everything is terribly grand and crashing, very Sturm and Drang. And they are distracting. You don't have to think about any of the nasty minutiae of the real world, you don't get caught up in that awful boring thing called regular life, with its bills and its breakups and its dishes and laundry and groceries and arguments over whose turn it is to change the litter box and bedtimes and bad sex and all that, because you are having a real drama, not a sitcom but a GRAND EPIC, all by yourself, and why would you bother with those foolish mortals when you could spend hours and hours with the mirror, when you are having the most interesting sado-machistic affair with your own image?”

“I don't think people realize, when they're just getting started on an eating disorder or even when they're in the grip of one, that it is not something that you just "get over." For the vast majority of eating-disordered people, it is something that will haunt you for the rest of your life. You may change your behavior, change your beliefs about yourself and your body, give up that particular way of coping in the world. You may learn, as I have, that you would rather be a human than a human's thin shell. You may get well. But you never forget.”

“When you believe that you are not worthwhile in and of yourself, in the back of your mind you also begin to believe that life is not worthwhile in and of itself. It is only worthwhile insofar as it relates to your crusade. It is a kamikaze mission.”

“This is the very boring part of eating disorders, the aftermath. When you eat and hate that you eat. And yet of course you must eat. You don’t really entertain the notion of going back. You, with some startling new level of clarity, realize that going back would be far worse than simply being as you are. This is obvious to anyone without an eating disorder. This is not always obvious to you.”

“People with eating disorders tend to be very diametrical thinkers – everything is the end of the world, everything rides on this one thing, and everyone tells you you're very dramatic, very intense, and they see it as an affectation, but it´s actually just how you think. It really seems to you that the sky will fall if you are not personally holding it up. On the one hand, this is sheer arrogance; on the other hand, this is a very real fear. And it isn't that you ignore the potential repercussions of your actions. You don't think there are any. Because you are not even there.”