Almost all [of my writing students] have been writing for at least a little while, some of them all their lives. Many of them have been told over the years that they are quite good, and they want to know why they feel so crazy when they sit down to work, why they have these wonderful ideas and then they sit down and write one sentence and see with horror that it is a bad one, and then every major form of mental illness from which they suffer surfaces, leaping out of the water like trout — the delusions, hypochondria, the grandiosity, the self-loathing, the inability to track one thought to completion, even the hand-washing fixation. And especially, the paranoia.
You can be defeated and disoriented by all these feelings, I tell them, or you can see the paranoia, for instance, as wonderful material. Surely one of your characters is riddled with it …Anne Lamott, Bird by Bird, pp 10 – 11