Read an excerpt from Marya Hornbacher’s new memoir

Remember Marya Hornbacher’s new memoir of her experiences with bipolar disorder? Now you can read a free excerpt from Madness: A Bipolar Life offered by the British Telegraph. This particular passage seems to pick up where Hornbacher’s eating disorder memoir Wasted leaves off, with Hornbacher in her early 20s and struggling to cope with life outside the warm security blanket of an eating disorder.
In this passage, Hornbacher sets the stage for describing the reality of mania in the same elegiac and beautifully crafted prose which has earned her a coveted place on the bookshelves of most people with eating disorders I know:
It seems to happen overnight: one day I am calm, and the next I am raging. It happens like you’re flipping a switch. I am having a perfectly lovely evening, and then it’s dark and I am screaming, standing in the middle of the room, turning over the glass-topped coffee table, ripping the bathroom sink out of the wall, picking up anything nearby and throwing it as hard as I can. The rages always come at night. They control my voice, my hands, I scream and throw myself against the walls.
Rage swings into a stuporous sleep, and sleep swings into the awful morning sun. My head slides off the edge of the bed, and my mood plummets from shrieking high to muffled low, my heart beating dully inside my ribs. This old, familiar ache does not feel so much like sadness as it does like death, if death is blunt and heavy and topples into you, knocking you flat.
After years of being misdiagnosed and and misunderstood, Hornbacher is finally diagnosed with bipolar disorder at age 23, one year after starting Wasted. She describes the strange mixture of relief and anguish in finally naming the disorder:
My chest floods with a mixture of horror and relief. The relief comes first: something in me sits up and says, ‘It’s true.’ He’s right, he has to be right. This is it. All the years I’ve felt tossed and spat up by the forces of chaos, all that time I’ve felt as if I am spinning away from the real world, off in my own aimless orbit - all of it, over. Now it has a name, and if it has a name, it’s a real thing, not merely my imagination gone wild.
If it has a name, if it isn’t merely an utter failure on my part, if it’s a disease, bipolar disorder, then it has an answer. And then the horror sets in. It’s hopeless. I’m hopeless. ‘Bipolar disorder’. ‘Manic depression’. I’m sick. It’s true. It isn’t going to go away.
Hornbacher grapples with both madness and an alcohol addiction through her 30s. With her newfound mental clarity of today, she writes of the toll mental illness and addiction has taken on her life - and why she would do it all over again.
In fact, much is lost to these two years of hospitalisation. I remember very little, because madness erases memory, and so does electroshock… Memory is not all that’s lost to madness. There are other kinds of damage, to the people in your life, to your sense of who you are and what you can do, to your future and the choices you’ll have. But there are some things gained. The years that have followed my decision to manage my mental illness have been challenging, sometimes painful, sometimes lovely.
The life I live, even the person I am, is nearly unrecognisable compared with life when madness was in control. But the constant effort to learn to live with it, and live well, has changed the way I see it, and it’s probably changed me. After the years in the hospital, I began to learn how to live the kind of life I want. These days, that life is becoming ever more real. But it took a while.
This Friday I turn 29. It is, as I jokingly tell my family and friends, the last birthday I intend to celebrate. But teetering precariously close to 30 or even turning 30 doesn’t terrify me as much as turning 50 this year seems to send my mother into a series of anxious spasms. I’ve felt old for a long time now, since even my mid-20s. Mental illness does that to a person, the brain is set on fast forward while the horrific trauma of addiction and madness steeps the mind and soul in a fountain of unimaginable experience. But like Hornbacher, I wouldn’t reset the clock and lead a sanitized life even if I could. As I turn 29 and later, enter my 30s, I realize the kind of life I want - and the kind of life I don’t want.
How about you? If you could travel back in time and change your past, would you? Why or why not?
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