Eva never really wanted to be a mother - and certainly not the mother of the unlovable boy who murdered seven of his fellow high school students, a cafeteria worker, and a much-adored teacher who tried to befriend him, all two days before his sixteenth birthday. Now, two years later, it is time for her to come to terms with marriage, career, family, parenthood, and Kevin's horrific rampage in a series of startlingly direct correspondences with her estranged husband, Franklin. Uneasy with the sacrifices and social demotion of motherhood from the start, Eva fears that her alarming dislike for her own son may be responsible for driving him so nihilistically off the rails.

First cousins Laura and Miles grew up like sisters. Miles thought of Laura as the golden one -- smart, beautiful, rich, and popular -- while Miles considered herself the unwanted one -- an unattractive, underachieving outcast. Laura's suicide shatters Miles and leaves her feeling completely alone, and sets Miles on a dangerous downward spiral. But in the strength Miles finds in herself and in those she didn't believe cared about her, she is able to rebuild her life in unexpected ways.

Rachel Cohn's emotionally powerful new novel views serious issues such as depression, suicide, prescription-drug abuse, and alternative family configurations through the lens of family love and survival.