Marya Hornbacher - Madness - A Bipolar Life

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A searing, unflinching and deeply moving account of Marya Hornbacher’s personal experience of living with bipolar disorder.From the age of six, Marya Hornbacher knew that something was terribly wrong with her, manifesting itself in anorexia and bulimia which she documented in her bestselling memoir ‘Wasted’. But it was only eighteen years later that she learned the true underlying reason for her distress: bipolar disorder.In this new, equally raw and frank account, Marya Hornbacher tells the story of her ongoing battle with this most pervasive and devastating of mental illnesses; how, as she puts it, ‘it crept over me like a vine, sending out tentative shoots in my childhood, taking deeper root in my adolescence, growing stronger in my early adulthood, eventually covering my body and face until I was unrecognizable, trapped, immobilized’. She recounts the soaring highs and obliterating lows of her condition; the savage moodswings and impossible strains it placed on her relationships; the physical danger it has occasionally put her in; the endless cycle of illness and recovery. She also tackles the paradoxical aspects of bipolar disorder – how it has been the drive behind some of her most creative work – and the reality of a life lived in limbo, ‘caught between the world of the mad and the world of the sane’.Yet for all the torment it documents, this is a book about survival, about living day to day with bipolar disorder – the constant round of therapy and medication – and managing it. As well as her own highly personal story, the book includes interviews with family, spouses and friends of sufferers, the people who help their loved ones carry on. Visceral and inspiring, lyrical and sometimes even funny, ‘Madness’ will take its place alongside other classics of the genre such as ‘An Unquiet Mind’ and ‘Girl, Interrupted’.

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Depression

1981

Maybe it begins when I am seven. I’m in bed. It’s too sunny outside, I can’t go out. The blinds are drawn and yet they let in a little light, and the little light pierces my eyes. I turn my face into my pillow. It’s cool and safe in my sheets. My father comes in.

Time to get up, kiddo .

(Silence.)

Kiddo .

(I pull the pillow over my head to block the incessant light.)

Kiddo, are you getting up?

No .

Why not?

I’m skipping today .

What’s the matter with today?

I sigh. I despair of ever getting up again. I cannot move. I will not move. Everything is horrible. I want to go to sleep forever.

I can’t go to school, I say.

Why not?

I bang my head on the mattress and let out a shriek. I sigh and flop onto my back and shade my eyes.

There’s an art project . I burst into tears.

Oh, my father says, unsurprised. Is it complicated?

It’s very complicated, I wail. I can’t do it. I don’t want to do it. So I’m sick . I wipe my nose and let the tears fall into my ears.

Okay, my father says.

I’m staying home .

Okay .

Okay. Okay. Now I will be okay. No crowded classroom, no scissors, no paste, no other kids, no cafeteria lunch, no recess, no wide sky and too much sun.

The world outside swells and presses in at the walls, trying to reach me, trying to eat me alive. I must stay here in the pocket of my sheets, with my blanket and my book. I will not face the world, with its lights and noise, its confusion, the way I lose myself in its crowds. The way I disappear. I am the invisible girl. I am make-believe. I am not really there.

I don’t come out of my room for days. Days bleed into weeks. I lie in bed in the dark.

Prayer

1983

On my knees. Praying. Pleading. The basement floor is cold beneath my knees. I come here to hide, to hide my prayers. My mother would mock me. God is merely a weakness for people who need to believe. She wouldn’t understand that I am chosen to speak for all the sorrows of the world.

I’m not crazy. God has called me and I have no choice but to answer, or I will be sent to hell. It all depends on me. And so I pray myself to sleep, and pray the second I wake, and pray all day, terrified that God will catch me slacking off and punish me severely.

My knees grow sore and my heart beats a million miles an hour. I panic. I practically pant. My mind spins with the things I am forgetting to pray for, things I have done, there is a light flashing in my brain, like the headlight of a train in the dark, the dark is my mind, which teems with sins, which torment me with their noise. I can hear the sins whisper; are they inside my head or outside my ears? Are they in the basement? Coming from the water heater, the washing machine? God answers at last. You may get up, I hear him say. His voice reverberates against the concrete walls.

Halfway up the stairs, I hear God call me to prayer again. I kneel and pray. He calls me in the kitchen. Calls me in my bedroom. Calls me at school. I raise my hand, hurry into the restroom, kneel on the floor of the stall, the restroom empty and echoing with my rapid breath, echoing with the shrieking, pounding in my head. I pray in class. I pray in the car, after dinner, all night long—hours after silence has settled around the house, my mouth moves with manic prayers.

God watches me, sees my every mistake, every sin. God’s voice booms in my head, now praising me, his chosen one, now spitting at me, sending the snake into my mind. It curls itself around itself, its body pressed against the walls of my skull. I lie in bed, rocking, my head in my hands, the snake flicking its tongue at the backs of my eyeballs. It sinks its teeth into the gray, wet brain. I press my open mouth to the mattress and scream.

Food

1984

God has left. My mind is spinning. I’m out of control, unable to contain myself. I am propelled forward, toward something drastic. I’m going to hurl myself into anything that will stop the thoughts . Suddenly I find a focus. It’s incredibly intense. I must, I must fill myself to bursting, then rid myself of that fullness. Food. It’s all about food.

My body disgusts me. I stand naked in my bedroom in front of the mirror. I pinch the flesh, the needy, hungry, horrible flesh, the softness that buries the perfect clean bones. I pinch hard; red welts appear on my skin. The body revolts me, its tricks, its betrayals, its lies. I starve and starve, and then it happens—the black hole in my chest yawns open, and suddenly I’m in the kitchen, standing at the counter, stuffing food into my mouth, anything I can find, anything that will fill me up. Food covers my face, my cheeks bulge with it, but I still can’t stop, my hands move back and forth from food to mouth. I hate myself for it. I want to be thin, I want to be bones, I want to eliminate hunger, softness, need.

Every day I come home from fourth grade and try to avoid the kitchen. I sit in my bedroom, clutching the seat of my chair. The empty house echoes its silence around me. I sit, gritting my teeth, and then the hum of compulsion drives me into the kitchen. I eat. Leftovers, frozen dinners, whatever I can stuff in my mouth.

I lean over the toilet with my fingers down my throat. I throw up, body heaving, until I’m spitting up blood. I straighten up. I am empty. Clean. I run my hands over the flat of my stomach, play the xylophone of my ribs. Satisfied, absolved, I open the door, walk calmly down the hall to the kitchen, and do it again.

It’s my secret and my savior. It’s reliable. It saves me from the unpredictable mind, where the thoughts are a cesspool, swirling, eddying with rip tide. When I starve, the sinking, pressing black sadness lifts off me, and I feel weightless, empty, light. No racing thoughts, no need to move, move, move, no reason to hide in the dark. When I throw up, I purge all the fears, the paranoia, the thoughts. The eating disorder gives me comfort. I couldn’t let it go if I tried.

It is what I need so badly, a homemade replacement for what a psychiatrist would prescribe for me if he knew: a mood stabilizer. My eating disorder is the first thing I’ve found that works. It becomes indispensable as soon as it begins. I am calm in starvation, all my apprehensions focused. No need to control my mind—I control my body, so my moods level out. I live in single-minded pursuit of something very specific: thinness, death. I act with intention, discipline. I am free.

My parents wonder where all the food is going. I say I’m a growing girl.

The Booze under the Stove

1985

Nothing is going fast enough. At school, the teachers are talking as if their mouths are full of molasses. Their limbs move in slow motion. Pointing to call on someone, the teacher lifts her arm as if it is filled with wet sand. I swear to God I think I am going insane, it is so slow, while my thoughts whistle past like the wind, so fast I can barely keep up. I turn my mind inward to watch them. They move in electric currents, crackling, spitting, sending out red sparks.

The other students are slow, stupid, asleep. In the hallways, they move like a herd of slugs, wet and shapeless, inching toward the door. I explode out of school, dancing as fast as I can across the playground, whipping in circles around the tetherball pole, dashing off across the yard, trying to shake off this incredible energy, this amazing energy . I’m ten years old and I might as well be on speed.

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