“You begin to forget what it means to live. You forget things. You forget that you used to feel all right. You forget what it means to feel all right because you feel like shit all the time, and you can't remember what it was like before. People take the feeling of full for granted. They take for granted the feeling of steadiness, of hands that do not shake, heads that do not ache, throats not raw with bile and small rips of fingernails forced to haste to the gag spot. Stomachs that do not begin to wake up in the night, calves and thighs knotting in muscles that are beginning to eat away at themselves. they may or may not be awakened at night by their own inexplicable sobs.”

“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.”

“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.”

“I wish I could find words to explain what this kind of cold is like – the cold that has somehow gotten in underneath your skin and is getting colder and colder inside you. It isn´t an outside sort of cold; it´s a cold that gets into your bones and into your blood and it feels like your heart itself is beating out the cold in hard bursts through your entire body, and you suddenly remember that you have a body because you can´t ignore it anymore. You feel like an ice cube. You feel like you´re naked and have fallen through thin ice on a lake and are drowning in the ice water underneath. You can´t breathe.”

“By November, you wish you were dead. You want nothing more. Every day, every fucking day, you run up the steps of the house, breathing hard, swing open the cupboards, thinking: You pitiful little bitch. Fucking cow. Greedy pig. All day, your stomach pinches and spits up its bile. You sway when you walk. You begin to get cold again.”

“I threw up again that night, half-afraid that my eyeballs would explode. But it was, by far, more important that I get rid of dinner. Of course, by then, throwing up was the only way I knew how to deal with fear. That paradox would begin to run my life: to know that what you are doing is hurting you, maybe killing you, and to be afraid of that fact--but to cling to the idea that this will save you, it will, in the end, make things okay.”

“And when, after fifteen years of bingeing, barfing, starving, needles and tubes and terror and rage, and medical crises and personal failure and loss after loss - when, after all this, you are in your early twenties and staring down a vastly abbreviated life expectancy, and the eating disorder still takes up half your body, half your brain, with its invisible eroding force, when you have spent the majority of your life sick, when you do not yet know what it means to be 'well,' or 'normal,' when you doubt that those words even have meaning anymore, there are still no answers. You will die young, and you have no way to make sense of that fact.You have this: You are thin.”