“I mean, we all know the dangers of starving, but bulimia? That can't be that bad. It's only bad when you get really thin. Who worries about bulimics? They're just gross.”

“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.”

“And when, after fifteen years of bingeing, barfing, starving, needles and tubes and terror and rage, and medical crises and personal failure and loss after loss - when, after all this, you are in your early twenties and staring down a vastly abbreviated life expectancy, and the eating disorder still takes up half your body, half your brain, with its invisible eroding force, when you have spent the majority of your life sick, when you do not yet know what it means to be 'well,' or 'normal,' when you doubt that those words even have meaning anymore, there are still no answers. You will die young, and you have no way to make sense of that fact.You have this: You are thin.”

“The bragging was the worst. I hear this in schools all over the country, in cafés and restaurants, in bars, on the Internet, for Pete's sake, on buses, on sidewalks: Women yammering about how little they eat. Oh, I'm Starving, I haven't eaten all day, I think I'll have a great big piece of lettuce, I'm not hungry, I don't like to eat in the morning (in the afternoon, in the evening, on Tuesdays, when my nails aren't painted, when my shin hurts, when it's raining, when it's sunny, on national holidays, after or before 2 A.M.). I heard it in the hospital, that terrible ironic whine from the chapped lips of women starving to death, But I'm not hun-greeee. To hear women tell it, we're never hungry. We live on little Ms. Pac-Man power pellets. Food makes us queasy, food makes us itchy, food is too messy, all I really like to eat is celery. To hear women tell it we're ethereal beings who eat with the greatest distaste, scraping scraps of food between our teeth with our upper lips curled.For your edification, it's bullshit.”

“Nothing in the world scares me as much as bulimia. It was true then and it is true now. But at some point, the body will essentially eat of its own accord in order to save itself. Mine began to do that. The passivity with which I speak here is intentional. It feels very much as if you are possessed, as if you have no will of your own but are in constant battle with your body, and you are losing. It wants to live. You want to die. You cannot both have your way. And so bulimia creeps into the rift between you and your body and you go out of your mind with fear. Starvation is incredibly frightening when it finally sets in with a vengeance. And when it does,you are surprised. You hadn't meant this. You say: Wait, not this. And then it sucks you under and you drown.”

“No matter how thin you get, no matter how short you cut your hair, it's still going to be you underneath.”

“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?”