Marya Hornbacher quotes:

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.

My relationships with both my mother and father are good. We spent several difficult years hashing over the problems and the past, and worked out a fairly solid middle ground. I wouldn't say my relationship with either of them - they're no longer together - is exactly typical, but that would be difficult after all we went through.

Anorexia and bulimia seem to be getting much more common in boys, men, and women of all ages and socioeconomic backgrounds; they are also becoming more common in racial groups previously thought to be impervious to the problem.

We think of bulimia and anorexia as either a bizarre psychosis, or as a quirky little habit, a phase, or as a thing that women just do. We forget that it is a violent act, that it bespeaks a profound level of anger toward and fear of the self.

It's really interesting to me how all of us can experience the exact same event, and yet come away with wildly disparate interpretations of what happened. We each have totally different ideas of what was said, what was intended, and what really took place.

When you are mad, mad like this, you don't know it. Reality is what you see. When what you see shifts, departing from anyone else's reality, it's still reality to you.

I think many people with a chronic illness would prefer not to have their chronic illness, simply because it's high maintenance.

I do have faith. I don't have faith that a God exists, nor do I have faith that one does not; I have absolute faith that I do not know, cannot know, am only human, am an infinitesimal creature packed onto a cramped planet crowded with seven billion bodies, and as many yearning hearts, and as many questioning minds.

There's childhood and early onset bipolar, but it transitions in your early adulthood into something a little bit different, and extremely severe. It was at that time that my impulse control just went out the window. Impulse control when you're manic just disappears.

We turn skeletons into goddesses and look to them as if they might teach us how not to need.

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.

My god! people say. You have so much self-control! And later: My god. You're so, so sick. When people say this, they turn their heads, you've won your little game. You have proven your thesis that no-body-loves-me-every-body-hates-me, guess-I'll-just-eat-worms. You get to sink back into your hospital bed, shrieking with righteous indignation. See? you get to say. I knew you'd give up on me. I knew you'd leave.

Because I'm not, in fact, depressed, Prozac makes me manic and numb - one of the reasons I slice my arm in the first place is that I'm coked to the gills on something utterly wrong for what I have.

I am often drawn to what appear at first to be 'dark' or 'difficult' subjects, but which, upon further examination, are always and only reflections of the ways human beings attempt, however clumsily, badly, or well, to connect with others.

When you deal with nonfiction you deal with human characters.

My students know I have a life, they know I've written about my life. They know some detail, probably more than they know about their physics teacher, but I would've told them anyway!

You will miss her sometimes. Bear in mind she's trying to kill you. Bear in mind you have a life to live.

I mean, we all know the dangers of starving, but bulimia? That can't be that bad. It's only bad when you get really thin. Who worries about bulimics? They're just gross.

Children take in more information than we'd like to believe.

I get absolutely shitfaced. I am shitfaced and hyper and ten years old. I am having the time of my life.

It is, at the most basic level, a bundle of contradictions: a desire for power that strips you of all power. A gesture of strength that divests you of all strength.

I have not lost my fascination with death. I have not become a noticeably less intense person. I have not, nor will I ever, completely lose the longing for that something, that thing that I believe will fill an emptiness inside me. I do believe that the emptiness was made greater by the things that I did to myself.

Some people who are obsessed with food become gourmet chefs. Others become eating disorders.

The idea of my future simultaneously thrilled and terrified me, like standing at the lip of a very sheer cliff- I could fly, or fall. I didn't know how to fly, and I didn't want to fall. So I backed away from the cliff and went in search of something that had a clear, solid trajectory for me to follow, like hopscotch.

I either want to be completely recovered or completely emaciated. It's the in between that I can't stand, the limbo of failure where you know that you haven't done your best at one or the other: dying or living.

You wake up one morning and there it is, sitting in an old plaid bathrobe in your kitchen, unpleasant and unshaved. You look at it, heart sinking. Madness is a rotten guest.

I'm a driven perfectionist, very self-critical.

When you're teaching creative nonfiction, it helps to have written about your life in a very open way, because you can say, 'Look, how much are you willing to risk emotionally to write? How careful can you be with the other people you're writing about?'

I have a remarkable ability to delete all better judgement from my brain when I get my head set on something. I have no sense of moderation, no sense of caution. I have no sense pretty much.

Never, never underestimate the power of desire. If you want to live badly enough, you can live. The great question, at least for me, was: How do I decide I want to live?

And so I went through the looking glass, stepped into the netherworld, where up is down and food is greed, where convex mirrors cover the walls, where death is honor and flesh is weak. It is ever so easy to go. Harder to find your way back.

In truth, you like the pain. You like it because you believe you deserve it.

...painfully curious...about how it feels to fall.

...Someone speaks in soft tones to me and says I am psychotic, but it's going to be all right. I put on my hat, unperturbed, and ask for some crayons.

[I] learned ... that friends are a good source of food and soul when one has not yet gotten the hang of cooking or living (as opposed to dying) alone. That nothing-not booze, not love, not sex, not work, not moving from state to state-will make the past disappear. Only time and patience heal things. I learned that cutting up your arms in an attempt to make the pain move from inside to outside, from soul to skin, is futile. That death is a cop-out. I tried all of these things.

"¢ This seems impossible to me. It seems biologically impossible to stay the same size, although I must. It seems one must always be either bigger or smaller than they were at some arbitrary point in time to which all things are compared. The panties that are possibly tighter than they were. When? You can't say when. But you are absolutely positive no question that it's true.

After a lifetime of silence, it is difficult then to speak.

All of us carry around countless bags of dusty old knickknacks dated from childhood: collected resentments, long list of wounds of greater or lesser significance, glorified memories, absolute certainties that later turn out to be wrong. Humans are emotional pack rats. These bags define us.

All of us have theories about the world and about ourselves. We will go to great lengths to prove ourselves right because it keeps the world in our head coherent and understandable.

And it's California, where everything is powerfully strange. Everyone wants it to be home. Everyone left where he or she was from with dreams of transformation. Everyone runs away to California at least once, or at least all the lonely, hungry people do.

And so I am feeling numb. It's a curious feeling, and I get it all the time. My attention to the world around me disappears, and something starts to hum inside my head. Far off, voices try to bump up against me, but I repel them. My ears fill up with water and I focus on the humming in my head.

And yet you are all that you have, so you must be enough. There is no other way.

At times it may seem worse - harder, at least - to live through the despair of this loss without the temporary comfort of our addictive behaviour. We cannot drown our sorrows. We must face the fact that we don't know, really, where we are, how we got here, how long the pain will last, or how to move past it. That uncertainty may be the most painful part of not knowing a God: no one is there to reassure us that a God will take the pain and confusion away. We simply don't know. And we have no way to numb ourselves or to forget the condition we're in.

Bear in mind, people with eating disorders tend to be both competitive and intelligent. We are incredibly perfectionistic. We often excel in school,athletics,artistic pursuits. We also tend to quit without warning. Refuse to go to school,drop out,quit jobs,leave lovers,move,lose all our money. We get sick of being impressive. Rather,we tire of having to seem impressive. As a rule,most of us never really believed we were any good in the first place.

But in some ways, the most significant choices one makes in life are done for reasons that are not all that dramatic, not earth-shaking at all; often enough, the choices we make are, for better or for worse, made by default.

But new love only lasts so long, and then you crash back into the real people you are, and from as high as we were, it's a very long fall, and we hit the ground with a thud.

Crazy isn´t always what they say it is. It´s not always the old woman wearing sneakers and a skirt and a scarf, wandering around with a shopping cart, hollering at no one, nothing, tumbling through years in her head. No. Sometimes it is a girl wearing boots and jeans and a sweater, arms crossed in front of her, shivering, wandering through the streets at night, all night, murmuring to no one, nothing, tumbling through the strange unreal dimensions in her head.

Falling in love happens so suddenly that it seems, all at once, that you have always been in love.

For a long time I believed the opposite of passion was death. I was wrong. Passion and death are implicit, one in the other. Past the border of a fiery life lies the netherworld. I can trace this road, which took me through places so hot the very air burned the lungs. I did not turn back. I pressed on, and eventually passed over the border, beyond which lies a place that is wordless and cold, so cold that it, like mercury, burns a freezing blue flame.

For me, the first sign of oncoming madness is that I'm unable to write.

Hatred is so much closer to love than indifference.

He leaned down and whispered to me: No matter how thin you get, no matter how short you cut your hair, it's still going to be you underneath. And he let go of my arm and walked back down the hall.

Hospitalizations in general are blurry. The days are the same, precisely the same. Nothing changes. Life melts down to a simple progression of meals. They become a way of life fairly quickly. You may welcome this transition. It may seem inevitable to you. You have been removed from the world. It is all right, in a way, because there is nothing so sure, so safe, as routine.

I am feeling fine. I remember these words and recite them. These are the things you say when asked how you are. After all, it would be odd to say: I'm not feeling. Or, more to the point: I'm not, I have ceased to be. Where am I?

I began to measure things in absence instead of presence.

I do not remember very many things from the inside out. I do not remember what it felt like to touch things, or how bathwater traveled over my skin. I did not like to be touched, but it was a strange dislike. I did not like to be touched because I craved it too much. I wanted to be held very tight so I would not break. Even now, when people lean down to touch me, or hug me, or put a hand on my shoulder, I hold my breath. I turn my face. I want to cry.

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 grew into it. It grew into me. It and I blurred at the edges, became one amorphous, seeping, crawling thing.

I had a love affair with books, with characters and their words. Books kept me company. When the voices of the book faded, as with the last long chord of a record, the back cover crinkling closed, I could swear I heard a door click shut.

I have never been normal about my body. It has always seemed to me a strange and foreign entity. I don't know that there was ever a time when I was not conscious of it. As far back as I can think, I was aware of my own corporeality, my physical imposition on space.

I know for a fact that sickness is easier, but health is more interesting.

I know how this feels: the tightening of the chest, the panic, the what-have-I-done-wait-I-was-kidding. Eating disorders linger so long undetected, eroding the body in silence, and then they strike. The secret is out. You're dying.

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.

If I had been a different sort of person, maybe less impressionable, less intense, less fearful, less utterly dependent upon the perceptions of others - maybe then I would not have bought the cultural party line that thinness is the be-all and end-all of goals. Maybe if my family had not been in utter chaos most of the time, maybe if my parents were a little better at dealing with their own lives maybe if I'd gotten help sooner, or if I'd gotten different help, maybe if I didn't so fiercely cherish my secret, or if I were not such a good liar, or were not quite so empty inside... maybe.

In her presence, I was reminded again of why I was an anoretic: fear. Of my needs, for food, for sleep, for touch, for simple conversation, for human contact, for love. I was an anoretic because I was afraid of being human. Implicit in human contact is the exposure of the self, the interaction of the selves. The self I'd had, once upon a time, was too much. Now there was no self at all. I was a blank.

In our absence, the violet early evening light pours in the bay window, filling the still room like water poured into a glass. The glass is delicate. The thin, tight surface of the liquid light trembles. But it does not break. Time does not pass. Not yet.

In that six months, so much happened that death seemed, primarily, inconvenient. The trial period was extended. I seem to keep extending it. There are many things to do. There are books to write and naps to take. There are movies to see and scrambled eggs to eat. Life is essentially trivial. You either decide you will take the trite business of life and give yourself the option of doing something really cool, or you decide you will opt for the Grand Epic of eating disorders and dedicate your life to being seriously trivial.

It is not a sudden leap from sick to well. It is a slow, strange meander from sick to mostly well. The misconception that eating disorders are a medical disease in the traditional sense is not helpful here. There is no 'cure'. A pill will not fix it, though it may help. Ditto therapy, ditto food, ditto endless support from family and friends. You fix it yourself. It is the hardest thing that I have ever done, and I found myself stronger for doing it. Much stronger.

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.

Madness strips you of memory and leaves you scrabbling around on the floor of your brain for the snatches and snippets of what happened, what was said, and when.

Madness will push you anywhere it wants. It never tells you where you're going, or why. It tells you it doesn't matter. It persuades you. It dangles something sparkly before you, shimmering like that water patch on the road up ahead. You will drive until you find it, the treasure, the thing you most desire. You will never find it. Madness may mock you so long you will die of the search. Or it will tire of you, turn its back, oblivious as you go flying. The car is beside you, smoking, belly-up, still spinning its wheels.

Me and my needs were driving my mother away. Me and my needs retreated to my closet, disappeared into fairy tales. I started making up a world where my needs wouldn´t exist at all.

My bones are brittle, my heart weak and erratic, my esophagus and stomach riddled with ulcers, my reproductive system shot, my immune system useless... I'm not going to have a happy ending.

My brain sometimes departs from the agreed-upon reality, and my private reality is a very lonely place. But in the end, I'm not sure I wish I'd never gone there.

My parents say that even as a very, very little kid, the way that I acted was dramatically different from other little kids.

One really ought to be afraid of self-torture. But it tempted me. It begged. The dark place that my mind was fast becoming blends, in my memory, with the dark womb of church: the chant, the fugue of prayer, the strange erotic energy that carving a very small cross into my thigh with a nail had brought.

People take the feeling of full for granted.

Recovery isn't easy, at first. It takes time. It takes more work, sometimes, than you think you're willing to do. But it is worth every hard day, every tear, every terrified moment. It's worth it, because the trade-off is this: you let go of your eating disorder, and you get back your life.

So many means of self-destruction, so little time.

Somewhere in the back of my brain there exists this certainty: The body is no more than a costume, and can be changed at will. That the changing of bodies, like costumes, would make me into a different character, a character who might, finally, be alright.

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.

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.

That nothing - not booze, not love, not sex, not work, not moving from state to state - will make the past disappear.

That's the nice thing about dreams, the way you wake up before you fall.

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

The biggest fear of my life is living. My second biggest fear is dying.

The fact that you were essentially dead does not register until you begin to come alive.

The idea began to sink in, more than it ever had, that I might be crazy, in the traditional sense of the word. That I might be, forever and ever amen, a Crazy Person. That's what we'd suspected all along, what I'd been working so hard to disprove, what might be true. I preferred, by far, being dead.

The joy is an absurd yellow tulip, popping up in my life, contradicting all the evidence that shows it should not be there.

The madness is there, and will always be there. But it will keep sleeping, as long as I don't wake it up.

The problem is that you don't just choose recovery. You have to keep choosing recovery, over and over and over again. You have to make that choice 5-6 times each day. You have to make that choice even when you really don't want to. It's not a single choice, and it's not easy.

The term "starvation diet" refers to 900 calories a day. I was on one-third of a starvation diet. What do you call that? One word that comes to my mind: "suicide.

There are women in my closet, hanging on the hangers. a different woman for each suit, each dress, each pair of shoes. I hoard clothes. My makeup spills from the bathroom drawers, and there are different women for different lipsticks.

There is never a sudden revelation, a complete and tidy explanation for why it happened, or why it ends, or why or who you are. You want one and I want one, but there isn't one. It comes in bits and pieces, and you stitch them together wherever they fit, and when you are done you hold yourself up, and still there are holes and you are a rag doll, invented, imperfect. And yet you are all that you have, so you must be enough. There is no other way.

There is, in fact, an incredible freedom in having nothing left to lose.

There was a time when I was unable to get out of bed because my body, its muscles eating themselves away, refused to sit up. There was a time when the lies rolled off my tongue with ease, when it was far more important to me to self-destruct than to admit I had a problem, let alone allow anyone to help.

This is the very boring part of eating disorders, the aftermath. When you eat and hate that you eat. And yet of course you must eat. You don't really entertain the notion of going back. You, with some startling new level of clarity, realize that going back would be far worse than simply being as you are. This is obvious to anyone without an eating disorder. This is not always obvious to you.

We know we need, and so we acquire and eat and eat, past the point of bodily fullness, trying to sate a greater need. Ashamed of this, we turn skeletons into goddesses and look to them as if they might teach us how to not-need.

We were at another funeral party. I wasn't sure who had died this time, but it was a suicide, and upsetting because it was completely out of season. No on killed themselves in summertime. It was rude.

When I returned, everything was different. Everything was calm, and I felt very clean. Everything was in order. Everything was as it should be. I had a secret. It was a guilty secret, certainly. But it was MY secret. I had something to hold on to. It was company. It kept me calm. It filled me up and emptied me out.

When I was growing up, I always felt there was an expectation that I would do one of two things: be great at something, or go crazy and become a total failure. There is no middle ground where I come from, and I am only now beginning to get a sense that there is a middle ground at all.

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.

When you're teaching creative nonfiction, it helps to have written about your life in a very open way, because you can say, 'Look, how much are you willing to risk emotionally to write? How careful can you be with the other people you're writing about?

You can only whine for so long. Then you need to get your life back.

You can't teach an ear, you can't teach talent, but you can teach people who have those things not to just fly by the seat of their pants.

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.

You will not stop. The pain is necessary, especially the pain of hunger. It reassures you that you are strong, can withstand anything, that you are not a slave to your body, you don't have to give in to its whining.

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.

Having a normal person around me made it poingnantly clear to me that I was out of control.