Point of View

The novel is narrated in the first person point-of-view from the perspective of an unnamed narrator who is chronicling her experience having a nervous breakdown and prescription pill addiction. This narrator is 26 years old, and living in Manhattan's Upper East Side off of money she inherited from her parents, both of whom died several years prior while she was in college. The story is told in the past tense, meaning she is recounting it from the future, but she very rarely ventures out of the timeline of events to provide any sort of perspective from her later years. In that sense, the novel is an immersive, sometimes chilling portrait of a woman undergoing total mental health collapse, while simultaneously in deep denial about what is happening to her.

This denial is evident from the beginning of the novel, as the narrator refers to the downward...