This is an intense memoir by a lawyer with bipolar disorder. Terry Cheney is very smart and successful but also very ill, and this book throws the reader into some awful experiences from page one – where she’s manic, determined to kill herself, and momentarily thwarted in her suicide plan when she’s locked out of her apartment; she unintentionally flirts with the locksmith, who sexually assaults her and then saves her life. Not all events in the book are this extreme, of course, but it is a memoir of how Cheney’s illness shaped her adult life: her most out-of-control highs and suicidal lows, her many attempts at treatment (with varying success), her fraught relationships and struggles to maintain a normal façade at work.
It is a harrowing ride, but the most horrifying episodes are the ones in which the author winds up “in the system,” and in parts of the system with the least excuse for their failings. In one chapter, a traffic stop leads to an arrest and ultimately a beating by police; in another, she overdoses and is briefly committed to a facility where patients receive some of the most dehumanizing treatment imaginable (how this is meant to prevent suicide is unclear). The book doesn’t get into policy arguments, but if this is what happens to someone who carries most privileges that exist in American society (an educated, well-off, gender-conforming, attractive white woman), then somehow either most people in the author’s position must be treated even more abominably or we have conceived the notion that mental illness abrogates one’s humanity. Yikes.
At any rate, Cheney’s writing is clear, direct and compelling, pulling the reader right into her life, and the book is a quick read. The organization is deliberately jumbled, and for the most part this works, creating a sense of immediacy and disorientation. It does have a minor drawback, which is that each chapter needs an independent justification for its inclusion: in a few of them not too much happens, or we see something the author has already shown in a slightly different context. But it is a fairly short book and the chapters do fit together into a larger whole.
(Actually the oddest thing, to me, was that the relationships the author describes in her acknowledgements are so absent from the text. Most jarring was the glowing thanks to her mother, who appears nowhere in the book despite the many personal and family crises depicted. I’d concluded that either she was dead or they were estranged. Maybe this would make more sense if I'd read Cheney’s other book.)
Other readers have pointed out that Cheney is privileged and a snob. This is true and she acknowledges it, in some ways clinging to status symbols as a defense mechanism. But the book isn’t about issues of poverty or race, and I did not find these traits to permeate the writing or otherwise affect my experience of it in the way I expected after reading reviews.
Anyway, this book is well-written and intense and brutally honest; it both draws the reader directly into the author’s experiences and explains those experiences, all while telling a gripping story. I recommend it.