Seventeen-year-old Elena is vanishing. Every day means renewed determination, so every day means fewer calories. This is the story of a girl whose armor against anxiety becomes artillery against herself as she battles on both sides of a lose-lose war in a struggle with anorexia.

Precociously intelligent, imaginative, energetic, and ambitious, Marya Hornbacher grew up in a comfortable middle-class American home. At the age of 5, she returned home from ballet class one day, put on an enormous sweater, curled up on her bed, and cried because she thought she was fat. By age 9, she was secretly bulimic, throwing up at home after school, while watching Brady Bunch reruns on television and munching Fritos. She added anorexia to her repertoire a few years later and took great pride in her ability to starve. Marya's story gathers intensity with each passing year. By the time she is in college and working for a wire news service in Washington D.C., she is in the grip of a bout of anorexia so horrifying that it will forever put to rest the romance of wasting away. Down to 52 pounds and counting, Marya becomes a battlefield: her powerful death instinct at war with the will to live. Why would a talented young girl go through the looking glass and slip into a netherworld where up is down, food is greed, and death is honor? Why enter into a love affair with hunger, drugs, sex, and death? Marya Hornbacher sustained both anorexia and bulimia through 5 lengthy hospitalizations, endless therapy, the loss of family, friends, jobs, and ultimately, any sense of what it means to be "normal." In this vivid, emotionally wrenching memoir, she recreates the experience and illuminates the tangle of personal, family, and cultural causes underlying eating disorders.

In 1995, Hadley Freeman wrote in her diary: “I just spent three years of my life in mental hospitals. So why am I crazier than I was before????” From the ages of 14 to 17, Freeman lived in psychiatric wards after developing anorexia nervosa. Her doctors informed her that her body was cannibalizing her muscles and heart for nutrition, but they could tell her little else: why she had it, what it felt like, what recovery looked like. For the next twenty years, Freeman lived as a “functioning anorexic,” grappling with new forms of self-destructive behavior as the anorexia mutated and persisted.

Anna Roux was a professional dancer who followed the man of her dreams from Paris to Missouri. There, alone with her biggest fears - imperfection, failure, loneliness - she spirals down anorexia and depression till she weighs a mere 88 pounds. Forced to seek treatment, she is admitted as a patient at 17 Swann Street, a peach pink house where pale, fragile women with life-threatening eating disorders live. Women like Emm, the veteran; quiet Valerie; Julia, always hungry. Together, they must fight their diseases and face six meals a day.

She was a good girl from a good family, with everything she could want or need. But below the surface, she felt like she could never be good enough. Like she could never live up to the expectations that surrounded her. Like she couldn't do anything to make a change. But there was one thing she could control completely: how much she ate. The less she ate, the better - stronger - she felt. But it's a dangerous game, and there is such a thing as going too far.... Her innermost thoughts and feelings are chronicled in the diary she left behind.