Martha Manning quotes:

The infinity of this vacancy, the pervasive pain, the longing for some spirit, some lightness, some joy - that's all that is left.

The images are visual, auditory, olfactory, kinesthetic. They aren't laid down on the same tracks as thought. And sometimes, when they return to you, it is as if you feel them for the very first time. Memory lives on in the details, like the color of a room, a tone of a voice, the touch of a child, the smell of a man.

I always feel bad laughing at people who act crazy. But sometimes the things they do are so damned funny. I wonder what I'd look like if I slipped a few notches on the mental-health index.

Psychologists call it "free-floating" anxiety. What contradictory words. Anxiety doesn't free-float. It stalks. It attacks. It lands on you with a thud.

Sometimes hell has no words.

The bottom line is that my life has already almost slipped away from me. I have two choices: I can end it or I can fight like hell to save it.

I'm getting less good at faking it. People in my family are noticing and asking what's wrong. My friends give me invitations to talk, to cry. I love them for their caring, but I want to run from it. I have lost their language, their facility with words that convey feelings. I am in new territory and feel like a foreigner in theirs.

I should come with a consumer warning, like the labels that say "Handle with care" or "May be hazardous to your health." I am unfit for human consumption. I struggle to articulate how awful and isolating this feels, but I can't find the words.

I would never kill myself intentionally. I couldn't do that to my family, my friends ... But to have fate step in and give me a shove, that's a different matter. Then I have the exit, without the guilt. I am ashamed of myself for thinking like this. But more than anything, I am frightened that it makes me feel so much better to think about it. Sometimes it eases the terror, the sense that I am condemned eternally to this hell.

If only I had known a year ago what I'd be facing now. Until last year I lived with the innocent arrogance that my life was a simple product of effort, will, and design. But now I am a house of cards, held precariously by the fragile conspiracy of wind, weight, and angle. Perhaps it is best we cannot see into our futures.

In the psychological literature, depression is often seen as a defense against sadness. But I'll take sadness any day. There is no contest. Sadness carries identification. You know where it's been and you know where it's headed. Depression carries no papers. It enters your country unannounced and uninvited. Its origins are unknown, but its destination always dead-ends in you.

In these flashes of insight, I understand for a moment that one of the great dividends of darkness is an increased sensitivity to the light.

It's enough just to speak when spoken to, to give some minimal reaction to a stimulus. But to actually be the stimulus doesn't even occur to me.

People say, "I have heart disease," not "I am heart disease." Somehow the presumption of a person's individuality is not compromised by those diagnostic labels. All the labels tell us is that the person has a specific challenge with which he or she struggles in a highly diverse life. But call someone "a schizophrenic" or "a borderline" and the shorthand has a way of closing the chapter on the person. It reduces a multifaceted human being to a diagnosis and lulls us into a false sense that those words tell us who the person is, rather than only telling us how the person suffers.

Some struggles are so solitary that they drown in words.

The body remembers what your mind forgets.

Depression is such a cruel punishment. There are no fevers, no rashes, no blood tests to send people scurrying in concern. Just the slow erosion of the self, as insidious as any cancer. And, like cancer, it is essentially a solitary experience. A room in hell with only your name on the door.