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This book is absolutely brutal at times. While I've read a lot of young adult books that deal with mental health issues, I've never read one quite like this. Instead of seeing Charlotte's life come back together after a stay in a mental health center, we read of her trying to keep her life together when she doesn't know how and the steady decline that occurs instead. It's realistic. It isn't pretty, but it's realistic for many people.

The writing is compelling. For those that do not struggle with their own mental health difficulties, this book can give you an accurate fictional insight into what it's like, especially with cutting.

For readers that struggle with cutting, it may be a bit too much. From the author's note at the end, she writes from first hand experience the emotions of cutting. While the author's note also seems to imply that she wants this to be a message that those who cut aren't alone, I was a bit leery to read it myself even though I last cut 4.5 years ago.

Overall, highly compelling, well-written, brutally realistic of a tough mental health situation and tough situation overall.