Wow. This book is relentless, intense, and depressing...
That being said, it also seems realistic. It chronicles Lia's descent into anorexia and self-harm. Her best friend was bulemic and has died at the beginning of the book. She tried to call Lia multiple times on the night she died, but Lia didn't answer. The guilt Lia feels contributes to her decline. She has been in and out of treatment and knows how to fool the system. Her mother, father, and stepfather don't know how to reach her or what to do to help her anymore. How do you help someone who is determined to hurt themselves?
This book is a difficult read and not for the faint of heart. I didn't enjoy it at all, but I did learn from it and I do see the value in it. Thus my 3 star review. Anderson describes what Lia looks like and what she does to her body in graphic detail. So, beware.
I think this could be a good book for teens or their parents to read. Teens may see themselves and see hope or realize what could happen to them. Adults can see the pressures that today's teens face on a daily basis. I think books about these issues are important when they show the whole situation in a realistic light. Anderson does an amazing job of getting inside Lia's head and showing us her thought process.