The tattoo artist inflicts pain and I take it. With each breath I count to one again. Each inhale, each exhale, time passes in the smallest of pieces, and pieces still smaller than those.This is how you count a life. This is how you go through it. Each second of hurt is a second that’s already passed, one you never have to go through again. I have counted in pieces that small, when walking from the bed to the fridge seemed an insurmountable goal. I have counted my breaths, my steps, my eye-blinks, my hiccups, the tiny pulse in my thumb. And when I started getting tattooed, two of the things I used to need were gone: to write on myself, and to find irrelevant things to count. A second of intense pain is the most profound thing you can live through. And another, and another, and another, and then you know what it is to feel, and to struggle through that feeling one small agonizing increment at a time, and if you know that, you know what it is to live with mental illness.