“The term “starvation diet” refers to 900 calories a day. I was on one-third of a starvation diet. What do you call that? One word that comes to my mind: “suicide.”

“We take a certain sick pride in the fact that we know the caloric and fat content of every possible food on the planet, and have an understandable disdain for nutritionists who attempt to tell us the caloric content of anything, when we are the gods of caloric content and have delusions of nutritional omniscience, when said nutritionist will attempt to explain that the average woman needs a daily diet of 2,000 or more calories when we ourselves have been doing JUST FUCKING FINE on 500.”

“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.”

“It's never over. Not really. Not when you stay down there as long as I did, not when you've lived in the netherworld longer than you've lived in this material one, where things are very bright and large and make such strange noises. You never come back, not all the way. Always, there is an odd distance between you and the people you love and the people you meet, a barrier, thin as the glass of a mirror. You never come all the way out of the mirror; you stand, for the rest of your life, with one foot in this world and one in another, where everything is upside down and backward and sad.It is the distance of marred memory, of a twisted and shape-shifting past. When people talk about their childhood, their adolescence, their college days, I laugh along and try not to think: that was when I was throwing up in my elementary school bathroom, that was when I was sleeping with strangers to show off the sharp tips of my bones, that was when I lost sight of my soul and died.And it is the distance of the present, as well - the distance that lies between people in general because of the different lives we have lived. I don't know who I would be, now, if I had not lived the life I have, and so I cannot alter my need for distance - nor can I lessen the low and omnipresent pain that that distance creates. The entirety of my life is overshadowed by one singular and near-fatal obsession.”

“My generation was weaned on subliminal advertising, stupid television, slasher movies, insipid grocery-store literature, MTV, VCRs, fast food, infomercials, glossy ads, diet aids, plastic surgery, a pop culture wherein the hyper-cool, blank-eyed supermodel was a hero. This is the intellectual and emotional equivalent of eating nothing but candy bars – you get malnourished and tired. We grew up in a world in which the surface of the thing is infinitely more important than its substance – and where the surface of the thing had to be “perfect,” urbane, sophisticated, blasé, adult. I would suggest that if you grow up trying constantly to be an adult, a successful adult, you will be sick of being grown up by the time you’re old enough to drink.”

“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.”

“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.”