When Marya Hornbacher published her first book, Wasted, she did not yet know the reason for her all-but-shattered young life. At age 24, Hornbacher was diagnosed with Type 1 rapid-cycle bipolar, the most severe form of bipolar disease there is. Here Hornbacher tells her new story. She takes us inside her own desperate attempts to control violently careening mood swings by self-starvation, substance abuse, numbing sex, and self-mutilation. How Hornbacher fights her way up from a madness that all but destroys her, and what it is like to live in a difficult and sometimes beautiful life and marriage, is at the heart of this brave memoir. Hornbacher's portrait of her own bipolar as early as age four will change the current debate on whether bipolar exists in children.