Here in the bathroom with me are razor blades. Here is iodine to drink. Here are sleeping pills to swallow. You have a choice. Live or die. Every breath is a choice. Every minute is a choice. To be or not to be. Every time you don't throw yourself down the stairs, that's a choice. Every time you don't crash your car, you reenlist.

There was a lot about my life that was crappy, now that I couldn't talk. But if I hadn't gotten drunk that night, if I hadn't gotten in that accident, would I have ever had this moment? Lying there in the sun, holding Sam's hand like time didn't exist and the real world couldn't touch us? Somehow I didn't think so.

I wanted to scream as I stood there, my toes hanging over the edge of the dock. I wanted to let a gut-wrenching howl rip from my disfigured throat toward those clouded skies. I wanted to say every swear word my mother had ever taught me not to say.I would have settled for a cut-off whimper, just as long as some kind of sound came from my lips.

The diabolical thing about melancholy is not that it makes you ill but that it makes you conceited and shortsighted; yes almost arrogant. You lapse into bad taste, thinking of yourself as Heine's Atlas, whose shoulders support all the world's puzzles and agonies, as if thousands, lost in the same maze, did not endure the same agonies.

Your eye will no longer linger on the light, it will no longer trace constellations. You'll care only about the darkness and you'll watch it for hours, for days, maybe even for years, trying in vain to believe you're some kind of indispensable, universe-appointed sentinel, as if just by looking you could actually keep it all at bay.

I was depressed, but that was a side issue. This was more like closing up shop, or, say, having a big garage sale, where you look at everything you've bought in your life, and you remember how much it meant to you, and now you just tag it for a quarter and watch 'em carry it off, and you don't care. That's more like how it was.

If your body is screaming in pain, whether the pain is muscular contractions, anxiety, depression, asthma or arthritis, a first step in releasing the pain may be making the connection between your body pain and the cause. “Beliefs are physical. A thought held long enough and repeated enough becomes a belief. The belief then becomes biology.

Caught in the center of a soundless fieldWhile hot inexplicable hours go byWhat trap is this? Where were its teeth concealed?You seem to ask.I make a sharp reply,Then clean my stick. I'm glad I can't explainJust in what jaws you were to suppurate:You may have thought things would come right againIf you could only keep quite still and wait.

I don’t know why we take our worst moods so much more seriously than our best, crediting depression with more clarity than euphoria. We dismiss peak moments and passionate love affairs as an ephemeral chemical buzz, just endorphins or hormones, but accept those 3 A.M. bouts of despair as unsentimental insights into the truth about our lives.

I don't want to see anyone. I lie in the bedroom with the curtains drawn and nothingness washing over me like a sluggish wave. Whatever is happening to me is my own fault. I have done something wrong, something so huge I can't even see it, something that's drowning me. I am inadequate and stupid, without worth. I might as well be dead.

What people don't understand when you've already been a suicide and pulled through is that after the sadness comes fear: Where is my mind going with this? I don't want to die. I do not want to die. When you don't have so much control over your own thoughts, over the myriad voices in your head, you don't know where they could go.

The fatigue I've gathered year after year and stored inside now heaves a muted cry of helplessness. Nothing but fatigue, rounding my shoulders, heavier than ever on this late autumn day with a useless sun, a world of unforgiving disasters. So many struggles and tragedies, so much sorrow and egotism in this dark, in this rotting century of hate.

Often he had the impression that the person answering questions from the scratchy armchair was a dummy he was controlling, that this had been true throughout his life, and that his life had become so involved with operating the dummy that he, the ventriloquist, had ceased to have a personality, becoming just an arm stuffed up the puppet's back.

Maybe it could be depression, like you get. I can understand now how you suffer when you’re depressed; I always thought you liked it and I thought you could have snapped yourself out any time, if not alone, then by means of the mood organ. But when you get that depressed you don’t care. Apathy, because you’ve lost a sense of worth.

and it was the pretending that might explain how she could smile so brightly while her mind felt nothing - as if, at these times, there existed a disconnection between outer and inner, a shutting off, and the key to her happiness lay in warding off pain, or dodging it, or pushing it into the shape of something else - like shame or anger or even hope.