The last place I want to be is the hospital, but I'm not stupid. I know when it's time to go in. I am so terrified of myself and of the vast, frightening world, that the psych ward, with its safe locked doors, sounds like a relief.

I have a type of bipolar that swings up and down all day long. There are significant mood swings within a day, within a week, within a month. I go through at least four major episodes a year. That's really the definition of bipolar rapid cycle. But I have ultra-rapid, so I have tiny little episodes all day long.

Were I to put myself on... one of those online dating things, I would not include in my profile that I'm regularly hospitalized for psychosis. But I do know that when I get really bad, there is a place for me to go where I will feel better.

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.

The anoretic operates under the astounding illusion that she can escape the flesh, and, by association, the realm of emotions.

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 no one in another, where everything is upside down and backward and sad.