“Madness strips you of memory and leaves you scrabbling around on the floor of your brain for the snatches and snippets of what happened, what was said, and when.”

“When you are mad, mad like this, you don't know it. Reality is what you see. When what you see shifts, departing from anyone else's reality, it's still reality to you.”

“Soon madness has worn you down. It’s easier to do what it says than argue. In this way, it takes over your mind. You no longer know where it ends and you begin. You believe anything it says. You do what it tells you, no matter how extreme or absurd. If it says you’re worthless, you agree. You plead for it to stop. You promise to behave. You are on your knees before it, and it laughs.”

“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 night I shaved it off altogether, a Staff named Mark, whose take-no-prisoners approach I respected and feared, pulled me aside, looked me hard in the face, and said, Marya, your hair. I said, Yeah, so? crossing my arms in front of me. He said, It’s harsh. I said, Yeah, well. He leaned down and whispered to me: No matter how thin you get, no matter how short you cut your hair, it’s still going to be you underneath. And he let go of my arm and walked down the hall. I didn’t want it to be me underneath. I wanted to kill the me underneath. The 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 behaviour for many years, your brain can’t quite deal with it.”

“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.”

“You wake up one morning and there it is, sitting in an old plaid bathrobe in your kitchen, unpleasant and unshaved. You look at it, heart sinking. Madness is a rotten guest.”