Pulitzer Prize–nominated author of Wasted, Marya Hornbacher's astonishing New York Times best-selling memoir from the belly of bipolar disorder.

Marya Hornbacher tells the story that until recently she had no idea was hers to tell: that of her life with Type I ultra-rapid-cycle bipolar disorder, the most severe form of bipolar disease.

In Madness, Hornbacher relates that bipolar can spawn eating disorders, substance abuse, promiscuity, and self-mutilation, and that for too long these symptoms have masked, for many of the three million people in America with bipolar, their underlying illness. Hornbacher’s fiercely self-aware portrait of bipolar, starting as early as age four, will surely powerfully change the current debate over whether bipolar can begin in childhood.

Through scenes of astonishing visceral and emotional power, she takes us inside her own desperate attempts to counteract violently careening mood swings. 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—where bipolar always beckons—is at the center of this brave and heart-stopping memoir.