Soon madness has worn you down. It's easier to do what it says than argue. In this way, it takes over your mind. You no longer know where it ends and you begin. You believe anything it says. You do what it tells you, no matter how extreme or absurd. If it says you're worthless, you agree. You plead for it to stop. You promise to behave. You are on your knees before it, and it laughs.
Aren't you afraid of dying? Not really. I've watched lots of good-for-nothing, worthless people die, and if people like that can do it, then I should be able to handle it.
The shame that tormented me was all the more corrosive for having no very clear origin: I didn't know why I felt so tainted, and worthless, and wrong-only that I did, and whenever I looked up from my books I was swamped by slimy waters rushing in from all sides.
Elizabeth scowled, feeling like a nobody, a nothing. She felt like her entire self had been made worthless. She could change her interests, but she couldn't change her looks. She'd never be six feet tall. She'd never look like a supermodel.