“There is, in fact, an incredible freedom in having nothing left to lose.”

“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.”

“Bear in mind, people with eating disorders tend to be both competitive and intelligent. We are incredibly perfectionistic. We often excel in school,athletics,artistic pursuits. We also tend to quit without warning. Refuse to go to school,drop out,quit jobs,leave lovers,move,lose all our money. We get sick of being impressive. Rather,we tire of having to seem impressive. As a rule,most of us never really believed we were any good in the first place.”

“I have not lost my fascination with death. I have not become a noticeably less intense person. I have not, nor will I ever, completely lose the longing for that something, that thing that I believe will fill an emptiness inside me. I do believe that the emptiness was made greater by the things that I did to myself.”

“Because I'm not, in fact, depressed, Prozac makes me manic and numb - one of the reasons I slice my arm in the first place is that I'm coked to the gills on something utterly wrong for what I have.”

“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.”

“Hospitalizations in general are blurry. The days are the same, precisely the same. Nothing changes. Life melts down to a simple progression of meals. They become a way of life fairly quickly. You may welcome this transition. It may seem inevitable to you. You have been removed from the world. It is all right, in a way, because there is nothing so sure, so safe, as routine.”