“When you believe that you are not worthwhile in and of yourself, in the back of your mind you also begin to believe that life is not worthwhile in and of itself. It is only worthwhile insofar as it relates to your crusade. It is a kamikaze mission.”

“At a certain point, an eating disorder ceases to be "about" any one thing. It stops being about your family, or your culture. Very simply, it becomes an addiction not only emotionally but also chemically. And it becomes a crusade. If you are honest with yourself, you stop believing that anyone could "make" you do such a thing— who, your parents? They want you to starve to death? Not likely. Your environment? It couldn't careless. You are also doing it for yourself. It is a shortcut to something many women without an eating disorder have gotten: respect and power. It is a visual temper tantrum. You are making an ineffective statement about this and that, a grotesque, self-defeating mockery of cultural standards of beauty, societal misogyny. It is a blow to your parents, at whom you are pissed.And it is so very seductive. It is so reassuring, so all-consuming, so entertaining.At first.”

“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.”

“The leap of faith is this: You have to believe, or at least pretend you believe until you really believe it, that you are strong enough to take life face on. Eating disorders, on any level, are a crutch. They are also an addiction and illness, but there is no question at all that they are quite simply a way of avoiding the banal, daily, itchy pain of life. Eating disorders provide a little drama, they feed into the desire for constant excitement, everything becomes life-or-death, everything is terribly grand and crashing, very Sturm and Drang. And they are distracting. You don't have to think about any of the nasty minutiae of the real world, you don't get caught up in that awful boring thing called regular life, with its bills and its breakups and its dishes and laundry and groceries and arguments over whose turn it is to change the litter box and bedtimes and bad sex and all that, because you are having a real drama, not a sitcom but a GRAND EPIC, all by yourself, and why would you bother with those foolish mortals when you could spend hours and hours with the mirror, when you are having the most interesting sado-machistic affair with your own image?”

“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.”

“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.”

“Madness is not what it seems. Time stops. All my life I've been obsessed with time, its motion and velocity, the way it works you over, the way it rushes you onward, a pebble turning in a brook. I've always been obsessed with where I'd go, and what I'd do, and how I would live. I've always harbored a desperate hope that I would make something of myself. Not then. Time stopped seeming so much like the thing that would transform me into something worthwhile and began to be inseparable from death. I spent my time merely waiting.”