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Content snapshot
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Violence
Some
Some self-harm; the consequences of severe eating disorders
Language
Some
Adult language
Sexual Content
Barely any
Brief romantic content
Substance Use
Barely any
Some substance use in recovery-adjacent contexts
Emotional Intensity
Very heavy
The extreme psychological intensity of anorexia from the inside; Lia's distorted thinking depicted with full accuracy; one of the most psychologically demanding YA novels
What this book is about
Lia and Cassie made a dangerous pact about thinness when they were girls. Now Cassie is dead of complications from bulimia—and Lia, still fighting anorexia, ignored the thirty-three calls Cassie made before she died. Anderson's novel is a harrowing, immersive account of an eating disorder from the inside, told in language that captures Lia's distorted thinking without endorsing it. One of YA's most honest and difficult books about mental illness.
Notes for sensitive readers
Reader-flagged moments and themes that may affect your experience.
Anorexia depicted from inside the distorted thinking
Self-harm
A friend's death from bulimia complications
Adults and resilient teens only; may be triggering
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