Between 10 and 20 percent of people with anorexia die from heart attacks, other complications and suicide; the disease has the highest mortality rate of any mental illness. Or Kitty could have lost her life in a different way, lost it to the roller coaster of relapse and recovery, inpatient and outpatient, that eats up, on average, five to seven years. Or a lifetime: only half of all anorexics recovery in the end. The other half endure lives of dysfunction and despair. Friends and families give up on them. Doctors dread treating them. They’re left to stand in the bakery with the voice ringing in their ears, alone in every way that matters.

I’ve never had anorexia, but I know it well. I see it on the street, in the gaunt and sunken face, the boney chest, the spindly arms of an emaciated woman. I’ve come to recognize the flat look of despair, the hopelessness that follows, inevitably, from years of starvation. I think: That could have been [me]. It wasn’t. It’s not.

It's so easy to focus on the anguish and the misery; it's harder, somehow, to acknowledge the positive, maybe for fear of jinxing it, bringing the nightmare back down on our heads.