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I know what it's like to want to die. How it hurts to smile. How you try to fit in but you can't. You hurt yourself on the outside to try to kill the thing on the inside.
Susanna Kaysen
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Interpretation

What this quote means

The quote expresses the deep pain and struggle of mental health issues and the desire to fit in despite overwhelming hurt.

In this quote, Susanna Kaysen conveys the profound emotional and psychological distress that accompanies feelings of isolation, despair, and the struggle for acceptance. The imagery of hurting oneself to alleviate internal pain reflects the complex interplay between external appearances and internal suffering, highlighting the often hidden battles individuals face in their quest for belonging and relief from their turmoil.

Themes

Mental HealthPainStruggleAcceptanceInternal ConflictSelf-Harm

In practice

Example use cases

In a mental health awareness campaign, this quote can illustrate the struggles many face in silence.

More from Susanna Kaysen

Have you ever confused a dream with life? Or stolen something when you have the cash? Have you ever been blue? Or thought your train moving while sitting still? Maybe I was just crazy. Maybe it was the 60's. Or maybe I was just a girl... interrupted.
Susanna KaysenRead
Viscosity and velocity are opposites, yet they can look the same. Viscosity causes the stillness of disinclination, velocity causes the stillness of fascination. An observer can't tell if a person is silent and still because inner life has stalled or because inner life is transfixingly busy.
Susanna KaysenRead
Actually, it was only part of myself I wanted to kill: the part that wanted to kill herself, that dragged me into the suicide debate and made every window, kitchen implement, and subway station a rehearsal for tragedy.
Susanna KaysenRead
I was trying to explain my situation to myself. My situation was that I was in pain and nobody knew it, even I had trouble knowing it. So I told myself, over and over, You are in pain. It was the only way I could get through to myself. I was demonstrating externally and irrefutably an inward condition.
Susanna KaysenRead
Don't separate the mind from the body. Don't separate even character - you can't. Our unit of existence is a body, a physical, tangible, sensate entity with perceptions and reactions that express it and form it simultaneously. Disease is one of our languages. Doctors understand what disease has to say about itself. It's up to the person with the disease to understand what the disease has to say to her.
Susanna KaysenRead

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