“By November, you wish you were dead. You want nothing more. Every day, every fucking day, you run up the steps of the house, breathing hard, swing open the cupboards, thinking: You pitiful little bitch. Fucking cow. Greedy pig. All day, your stomach pinches and spits up its bile. You sway when you walk. You begin to get cold again.”

“I wish I could find words to explain what this kind of cold is like – the cold that has somehow gotten in underneath your skin and is getting colder and colder inside you. It isn´t an outside sort of cold; it´s a cold that gets into your bones and into your blood and it feels like your heart itself is beating out the cold in hard bursts through your entire body, and you suddenly remember that you have a body because you can´t ignore it anymore. You feel like an ice cube. You feel like you´re naked and have fallen through thin ice on a lake and are drowning in the ice water underneath. You can´t breathe.”

“This is the weird aftermath, when it is not exactly over, and yet you have given it up. You go back and forth in your head, often, about giving it up. It’s hard to understand, when you are sitting there in your chair, having breakfast or whatever, that giving it up is stronger than holding on, that “letting yourself go” could mean you have succeeded rather than failed. You eat your goddamn Cheerios and bicker with the bitch in your head that keeps telling you you’re fat and weak: Shut up, you say, I’m busy, leave me alone. When she leaves you alone, there’s a silence and a solitude that will take some getting used to. You will miss her sometimes...There is, in the end, the letting go.”

“I threw up again that night, half-afraid that my eyeballs would explode. But it was, by far, more important that I get rid of dinner. Of course, by then, throwing up was the only way I knew how to deal with fear. That paradox would begin to run my life: to know that what you are doing is hurting you, maybe killing you, and to be afraid of that fact--but to cling to the idea that this will save you, it will, in the end, make things okay.”

“You begin to forget what it means to live. You forget things. You forget that you used to feel all right. You forget what it means to feel all right because you feel like shit all the time, and you can't remember what it was like before. People take the feeling of full for granted. They take for granted the feeling of steadiness, of hands that do not shake, heads that do not ache, throats not raw with bile and small rips of fingernails forced to haste to the gag spot. Stomachs that do not begin to wake up in the night, calves and thighs knotting in muscles that are beginning to eat away at themselves. they may or may not be awakened at night by their own inexplicable sobs.”

“Death is a fascinating thing. The human mind continually returns and returns to death, to mortality, immortality, damnation, salvation. Some fear death, some seek it, but it is in our human nature to wonder at the limits of human life, at least. When you are sick like this you begin to wonder too much. Death is at your shoulder, death is your shadow, your scent, your waking and dreaming companion. You cannot help, when sleep begins to touch your eyes, but to wonder: What if? What if? And in that question, there is a longing, too much like the longing of a young girl in love. The sickness occupies your every thought, breath like a lover at your ear; the sickness stands at your shoulder in the mirror, absorbed with your body, each inch of skin and flesh, and you let it work you over, touch you with rough hands that thrill. Nothing will ever be so close to you again. You will never find a lover so careful, so attentive, so unconditionally present and concerned only with you.Some of us use the body to convey the things for which we cannot find words. Some of us decide to take a shortcut, decide the world is too much or too little, death is so easy, so smiling, so simple; and death is dramatic, a final fuck-you to the world.”

“I wanted to kill the me underneath. That fact haunted my days and nights. When you realize you hate yourself so much, when you realize that you cannot stand who you are, and this deep spite has been the motivation behind your behavior for many years, your brain can’t quite deal with it. It will try very hard to avoid that realization; it will try, in a last-ditch effort to keep your remaining parts alive, to remake the rest of you. This is, I believe, different from the suicidal wish of those who are in so much pain that death feels like relief, different from the suicide I would later attempt, trying to escape that pain. This is a wish to murder yourself; the connotation of kill is too mild. This is a belief that you deserve slow torture, violent death.”