I know what it's like to want to die. How it hurts to smile. How you try to fit in but you can't. You hurt yourself on the outside to try to kill the thing on the inside.

Our hospital was famous and housed many great poets and singers. Did the hospital specialize in poets and singers or was it that poets and singers specialized in madness?

It's a long way from not having enough serotonin to thinking the world is "stale, flat and unprofitable"; even further to writing a play about a man driven by that thought.

Lunatics are similar to designated hitters. Often an entire family is crazy, but since an entire family can't go into the hospital, one person is designated as crazy and goes inside.

Disease [is] as one of our languages. Doctors understand what disease has to say about itself. It's up to the person with the disease to understand what the disease has to say to her.

In a strange way we were free. We'd reached the end of the line. We had nothing more to lose. Our privacy, our liberty, our dignity: all of this was gone and we were stripped down to the bare bones of our selves

Actually, it was only part of myself I wanted to kill: the part that wanted to kill herself, that dragged me into the suicide debate and made every window, kitchen implement, and subway station a rehearsal for tragedy.

But when they were done, I wondered if there would be a next time. I felt good. I wasn’t dead, yet something was dead. Perhaps I’d managed my peculiar objective of partial suicide. I was lighter, airier than I’d been in years.

It is easy to slip into a parallel universe. There are so many of them: worlds of the insane, the criminal, the crippled, the dying, perhaps of the dead as well. These worlds exist alongside this world and resemble it, but are not in it.

I don't have a whole bunch of literary connections. I don't write reviews or attend writer's conferences. I'm kind of shy and don't want to go to a party. I just want to stay home and read my murder mysteries and try to write and cook dinner.

I noticed that some of my deadness was being replaced by an intense feeling about the Greek stories and the Bible stories. They were similar. There was something naked about these stories. Terrible things happened, and then some more terrible things.

Have you ever confused a dream with life? Or stolen something when you have the cash? Have you ever been blue? Or thought your train moving while sitting still? Maybe I was just crazy. Maybe it was the 60's. Or maybe I was just a girl... interrupted.

Scar tissue has no character. It's not like skin. It doesn't show age or illness or pallor or tan. It has no pores, no hair, no wrinkles. It's like a slip cover. It shields and disguises what's beneath. That's why we grow it; we have something to hide.

Are you crazy? It's a common phrase, I know. But it means something particular to me: the tunnels, the security screens, the plastic forks, the shimmering, ever-shifting borderline that like all boundaries beckons and asks to be crossed. I do not want to cross it again.

By the time we hit the streets they were silent and closed in on us, and they had assumed the Nonchalant Look, an expression that said, I am not a nurse escorting six lunatics to the ice cream parlor. But they were, and we were their six lunatics, so we behaved like lunatics.

And this was the main precondition, that anything might be something else. Once I'd accepted that, it followed that I might be mad, or that someone might think me mad. How could I say for certain that I wasn't, if I couldn't say for certain that a curtain wasn't a mountain range?

You could also "request" to be locked into the seclusion room. Not many people made that request. You had to "request" to get out too. A nurse would look through the chicken wire and decide if you were ready to come out. Somewhat like looking at a cake through the glass of the oven door.

Viscosity and velocity are opposites, yet they can look the same. Viscosity causes the stillness of disinclination, velocity causes the stillness of fascination. An observer can't tell if a person is silent and still because inner life has stalled or because inner life is transfixingly busy.

Emptiness and boredom: what an understatement. What I felt was complete desolation. Desolation, despair, and depression. Isn't there some other way to look at this? After all, angst of these dimensions is a luxury item. You need to be well fed, clothes, and housed to have time for this much self-pity.

I was trying to explain my situation to myself. My situation was that I was in pain and nobody knew it, even I had trouble knowing it. So I told myself, over and over, You are in pain. It was the only way I could get through to myself. I was demonstrating externally and irrefutably an inward condition.

For many of us, the hospital was as much a refuge as it was a prison. Though we were cut off from the world and all the trouble we enjoyed stirring up out there, we were also cut off from the demands and expectations that had driven us crazy. What could be expected of us now that we were stowed away in a loony bin?

Light like this does not exist, but we wish it did. We wish the sun could make us young and beautiful, we wish our clothes could glisten and ripple against our skins, most of all, we wish that everyone we knew could be brightened simply by our looking at them, as are the maid with the letter and the soldier with the hat.

Suicide is a form of murder - premeditated murder. It isn't something you do the first time you think of doing it. It takes getting used to. And you need the means, the opportunity, the motive. A successful suicide demands good organization and a cool head, both of which are usually incompatible with the suicidal state of mind.

This clarity made me able to behave normally, which posed some interesting questions. Was everybody seeing this stuff and acting as though they weren't? Was insanity just a matter of dropping the act? If some people didn't see these things, what was the matter with them? Were they blind or something? These questions had me unsettled.

Lunatics are similar to designated hitters. Often an entire family is crazy, but since an entire family can't go into the hospital, one person is designated as crazy and goes inside. Then, depending on how the rest of the family is feeling that person is kept inside or snatched out, to prove something about the family's mental health.

Don’t ask me those questions! Don’t ask me what life means or how we know reality or why we have to suffer so much. Don’t talk about how nothing feels real, how everything is coated with gelatin and shining like oil in the sun. I don’t want to hear about the tiger in the corner or the Angel of Death or the phone calls from John the Baptist.

Which is worse, overload or underload? Luckily, I never had to choose. One or Pass on to where? Back into my cells to lurk like a virus waiting for the next opportunity? Out into the ether of the world to wait for the circumstances that would provoke its reappearance? Endogenous or exogenous, nature or nurture - it's the great mystery of mental illness.

This time I read the title of the painting: Girl Interrupted at Her Music. Interrupted at her music: as my life had been, interrupted in the music of being seventeen, as her life had been, snatched and fixed on canvas: one moment made to stand still and to stand for all the other moments, whatever they would be or might have been. What life can recover from that?

Don't separate the mind from the body. Don't separate even character - you can't. Our unit of existence is a body, a physical, tangible, sensate entity with perceptions and reactions that express it and form it simultaneously. Disease is one of our languages. Doctors understand what disease has to say about itself. It's up to the person with the disease to understand what the disease has to say to her.

In the parallel universe the laws of physics are suspended. What goes up does not necessarily come down, a body at rest does not tend to stay at rest and not every action can be counted on to provoke an equal and opposite reaction. Time, 'too, is different. It may run in circles, flow backward, skip about from now to then. The very arrangement of molecules is fluid: Tables can be clocks, faces, flowers.

It's important to cultivate detachment. One way to do this is to practice imagining yourself dead, or in the process of dying. If there's a window, you must imagine your body falling out the window. If there's a knife, you must imagine the knife piercing your skin. If there's a train coming, you must imagine your torso flattened under its wheels. These exercises are necessary to achieving the proper distance.

The debate was wearing me out. Once you've posed that question, it won't go away. I think many people kill themselves simply to stop the debate about whether they will or they won't. Anything I thought or did was immediately drawn into the debate. Made a stupid remark--why not kill myself? Missed the bus--better put an end to it all. Even the good got in there. I liked that movie--maybe I shouldn't kill myself.

The floor of ice cream parlor bothered me. It was black-and-white checkboard tile, bigger than supermarket checkboard. If I looked only at a white square, I would be all right, but it was hard to ignore the black squares that surrounded the white ones. The contrast got under my skin. The floor meant yes, no, this, that, up, down, day, night -all the indecisions and opposites that were bad enough in life without having them spelled out for you on the floor.

Twenty aspirin, a little slit alongside the veins of the arm, maybe even a bad half hour standing on a roof: We've all had those. And somewhat more dangerous things, like putting a gun in your mouth. But you put it there, you taste it, it's cold and greasy, your finger is on the trigger, and you find that a whole world lies between this moment and the moment you've been planning, when you'll pull the trigger. That world defeats you. You put the gun back in the drawer. You'll have to find another way.

For nearly a century the psychoanalysts have been writing op-ed pieces about the workings of a country they've never traveled to, a place that, like China, has been off-limits. Suddenly, the country has opened its borders and is crawling with foreign correspondents, neurobiologists are filing ten stories a week, filled with new data. These two groups of writers, however, don't seem to read each other's work. That's because the analysts are writing about a country they call Mind and the neuroscientists are reporting from a country they call Brain.

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