Psychological and spiritual components are as important or more important for you . Thoughts and feelings can change neurochemistry , just as chemistry can change feeling and behavior .

I did my graduate research paper on the biochemistry of schizophrenia . Intellectually , I believe that most serious mental illness has a biological component and that the visible results are partly a personality reaction to a body that can’t be trusted .

Mental illness is an illness , not an excuse for irresponsibility .

But you must decide whether you are going to pursue reality and health or to retreat into your fantasies . You have the right to retreat , but do it all the way and take up residency at the state hospital . You will be well cared for there . If you decide for reality , you will have a long fight ahead , but I can assure you that reality is worth the fight . When you make up your mind , let me know .

But Hey, Guess What
Crazy means I'm not liable
for my actions. So screw it,
I'll go home, propped up on
Prozac against distractions

There is a particular kind of pain, elation, loneliness, and terror involved in this kind of madness. When you're high it's tremendous. The ideas and feelings are fast and frequent like shooting stars, and you follow them until you find better and brighter ones. Shyness goes, the right words and gestures are suddenly there, the power to captivate others a felt certainty. There are interests found in uninteresting people. Sensuality is pervasive and the desire to seduce and be seduced irresistible. Feelings of ease, intensity, power, well-being, financial omnipotence, and euphoria pervade one's marrow. But, somewhere, this changes. The fast ideas are far too fast, and there are far too many; overwhelming confusion replaces clarity. Memory goes. Humor and absorption on friends' faces are replaced by fear and concern. Everything previously moving with the grain is now against-- you are irritable, angry, frightened, uncontrollable, and enmeshed totally in the blackest caves of the mind. You never knew those caves were there. It will never end, for madness carves its own reality.