“Madness will push you anywhere it wants. It never tells you where you're going, or why. It tells you it doesn't matter. It persuades you. It dangles something sparkly before you, shimmering like that water patch on the road up ahead. You will drive until you find it, the treasure, the thing you most desire.You will never find it. Madness may mock you so long you will die of the search. Or it will tire of you, turn its back, oblivious as you go flying. The car is beside you, smoking, belly-up, still spinning its wheels.”

“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.”

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

“There is never a sudden revelation, a complete and tidy explanation for why it happened, or why it ends, or why or who you are. You want one and I want one, but there isn't one. It comes in bits and pieces, and you stitch them together wherever they fit, and when you are done you hold yourself up, and still there are holes and you are a rag doll, invented, imperfect. And yet you are all that you have, so you must be enough. There is no other way.”

“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 back down the hall.”

“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.”