“My god! people say. You have so much self-control! And later: My god. You're so, so sick. When people say this, they turn their heads, you've won your little game. You have proven your thesis that no-body-loves-me-every-body-hates-me, guess-I'll-just-eat-worms. You get to sink back into your hospital bed, shrieking with righteous indignation. See? you get to say. I knew you'd give up on me. I knew you'd leave.”

“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.”

“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.”

“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.”

“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.”

“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.”

“There was a time when I was unable to get out of bed because my body, its muscles eating themselves away, refused to sit up. There was a time when the lies rolled off my tongue with ease, when it was far more important to me to self-destruct than to admit I had a problem, let alone allow anyone to help.”