5 Star Books · ARC Book Reviews · Domestic Fiction · Literary Fiction · mental health

The Girls at 17 Swann Street by Yara Zgheib | ARC #BookReview

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The Girls at 17 Swann Street by Yara Zgheib

Published: February 5, 2019

Publisher: St. Martin’s Press

Pages: 384

Genres: literary fiction, mental health, domestic fiction 

Rating: 5 stars 

Recommend to fans of: books about eating disorders and mental health, strong women struggling with difficult things

Foodie Vibes: the meal plan set forth by the eating disorder treatment team – designed for weight gain and food challenges

 

Synopsis: 

The chocolate went first, then the cheese, the fries, the ice cream. The bread was more difficult, but if she could just lose a little more weight, perhaps she would make the soloists’ list. Perhaps if she were lighter, danced better, tried harder, she would be good enough. Perhaps if she just ran for one more mile, lost just one more pound.

Anna Roux was a professional dancer who followed the man of her dreams from Paris to Missouri. There, alone with her biggest fears – imperfection, failure, loneliness – she spirals down anorexia and depression till she weighs a mere eighty-eight pounds. Forced to seek treatment, she is admitted as a patient at 17 Swann Street, a peach pink house where pale, fragile women with life-threatening eating disorders live. Women like Emm, the veteran; quiet Valerie; Julia, always hungry. Together, they must fight their diseases and face six meals a day.

Yara Zgheib’s poetic and poignant debut novel is a haunting, intimate journey of a young woman’s struggle to reclaim her life. Every bite causes anxiety. Every flavor induces guilt. And every step Anna takes toward recovery will require strength, endurance, and the support of the girls at 17 Swann Street.

 

Review:

Thank you to NetGalley, St. Martin’s Press and Yara Zgheib for an ARC ebook copy to review. As always, an honest review from me.

Like: 

  • Good representation: adults of various ages and stages in life are shown, not just the stereotypical upper middle class teenage girl
  • Each couple of days is punctuated by the staff’s treatment plan update: physiological observations, psychological observations, summary, target calories, meal plans
  • Not a fluffy feel good book, but the realistic ups and downs of getting help for an eating disorder

Love: 

  • The details that go into the world building – In reality it’s only an eating disorder treatment house, but the author makes it seem like a whole different world 
  • The main character: Anna – kind, relatable, vulnerable, courageous
  • The concept and daily life is oddly fascinating — weird?, I know
  • The relationship between Anna and her husband, Matthias
  • Beautifully written

Dislike: 

  • That so many of the characters are missing out on life.
  • Emm: one of the long term patients. It doesn’t seem realistic that she could be at the treatment center for years. Also she didn’t seem to add much to the story, except as one of the many cautionary tales. 

Wish that: 

  • There was more about the psychological aspects of eating disorder treatment such as group therapy, individual therapy, etc.

Overall, a beautifully written book about the brave struggles of a woman working to survive and eating disorder. It’s hard to explain, but there’s something absolutely captivating about this story. 

 

Do you enjoy reading books about characters with a mental illness? 

 

Add to your Goodreads TBR

 

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Twitter: @BooksAndLife1

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Facebook: @BooksLifeAndEverythingNice

4.5 Star Books · ARC Book Reviews · Book Reviews · contemporary fiction · mental health · Young Adult

Roam by C.H. Armstrong | ARC Book Review

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Roam by C.H. Armstrong

Published: February 5, 2019

Publisher: Central Avenue Publishing

Pages: 320 

Genres: young adult, contemporary fiction, mental health 

Rating: 4.5 stars 

Recommend to fans of: realistic issues facing teens today, likable main characters, feel good books about difficult issues

Foodie Vibes: free breakfast and lunch served by the high school, so you don’t go hungry 

 

Synopsis: 

Seventeen year-old Abby Lunde and her family are living on the streets. They had a normal life back in Omaha, but thanks to her mother’s awful mistake, they had to leave what little they had behind for a new start in Rochester. Abby tries to be an average teenager—fitting into school, buoyed by dreams of a boyfriend, college, and a career in music. But Minnesota winters are unforgiving, and so are many teenagers.

Her stepdad promises to put a roof over their heads, but times are tough for everyone and Abby is doing everything she can to keep her shameful secret from her new friends. The divide between rich and poor in high school is painfully obvious, and the stress of never knowing where they’re sleeping or where they’ll find their next meal is taking its toll on the whole family.

As secrets are exposed and the hope for a home fades, Abby knows she must trust those around her to help. But will her friends let her down the same way they did back home, or will they rise to the challenge to help them find a normal life?

 

Review:

Thank you to NetGalley, Central Avenue Publishing, and C.H. Armstrong for an ARC ebook copy to review. As always, an honest review from me.

Like:

  • The family relationships: meaningful, realistic, but tense at times
  • Abby is a great character: kind, relatable, hard working

Love: 

  • Highlights the resources available to people struggling with lack of housing, food, money, clothing, etc. 
  • The overall concept: a homeless teenager navigating life, high school, family, friends and her future as normally as possible
  • Great representation of an underrepresented population
  • Abby’s relationship with her friends and boyfriend
  • The teachers and other adults looking out for her in a non judgmental, discrete manner #TeacherGoals
  • A realistic look at the day in the life of a person dealing with the struggles of being homeless

Dislike:

  • The character of Trish: mean girl/bully to many people

Wish that:

  • The premise of them becoming homeless made more sense. It’s sort of explained at the end, but there were still a few loose ends. 
  • The ending was done better- wrapped up the story a little too quickly and neatly

 

Overall, an absolutely captivating read about an under discussed topic. A book that should be in the curriculum of many high school English and humanity classes. 

 

Bookish Question: 

How can you help those in need in your community? 

Is there a place to donate food, clothes or other necessary supplies? 

 

Add to your Goodreads TBR

 

Come say hi!

Twitter: @BooksAndLife1

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5 Star Books · ARC Book Reviews · Bookish Posts · contemporary fiction · contemporary romance · mental health · Women's Fiction

The Best Book! | ARC Review | The Girl He Used to Know by Tracey Garvis Graves

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The Girl He Used to Know by Tracey Garvis Graves

Published: April 2, 2019

Publisher: St. Martin’s Press

Pages: 304

Genres: contemporary romance, contemporary fiction, women’s fiction, mental health

Rating: 5 stars

Recommend to fans of: books with all the feels, good representation of people on the autism spectrum

Foodie Vibes: cherry wine coolers 

 

Synopsis:

Annika (rhymes with Monica) Rose is an English major at the University of Illinois. Anxious in social situations where she finds most people’s behavior confusing, she’d rather be surrounded by the order and discipline of books or the quiet solitude of playing chess.

Jonathan Hoffman joined the chess club and lost his first game–and his heart–to the shy and awkward, yet brilliant and beautiful Annika. He admires her ability to be true to herself, quirks and all, and accepts the challenges involved in pursuing a relationship with her. Jonathan and Annika bring out the best in each other, finding the confidence and courage within themselves to plan a future together. What follows is a tumultuous yet tender love affair that withstands everything except the unforeseen tragedy that forces them apart, shattering their connection and leaving them to navigate their lives alone.

Now, a decade later, fate reunites Annika and Jonathan in Chicago. She’s living the life she wanted as a librarian. He’s a Wall Street whiz, recovering from a divorce and seeking a fresh start. The attraction and strong feelings they once shared are instantly rekindled, but until they confront the fears and anxieties that drove them apart, their second chance will end before it truly begins.

 

Review:

I won this book for free through a Goodreads Giveaway. Thank you to Goodreads, Tracey Garvis Graves and St. Martin’s Press for an ARC copy. As always, an honest review from me. 

The book is absolutely amazing! There are not enough words to accurately describe how wonderful the read was, so I’m not even going to try. I will just say this: I’ve never done this before — not given a full in depth review of a book. That’s how special I found The Girl He Used to Know. But take my word for it, read this book! 

 

Do you ever feel like you don’t have the words to explain how amazing a book, movie, feeling is?

4 Star Books · Book Reviews · contemporary fiction · Medical · mental health · Young Adult

Girl in Pieces by Kathleen Glasgow

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Girl in Pieces by Kathleen Glasgow 

Published: August 30, 2016

Publisher: Delacorte Press

Pages: 416

Genres: young adult, contemporary fiction, mental health 

Rating: 4 stars

Recommend to fans of: realistic portrayals of mental health struggles, homelessness and self harm, realistic non fluffy books

Foodie Vibes: peanut butter and bread — cheap, doesn’t require refrigeration and is filling — required for when times are tough 

 

Synopsis: 

Charlotte Davis is in pieces. At seventeen she’s already lost more than most people lose in a lifetime. But she’s learned how to forget. The broken glass washes away the sorrow until there is nothing but calm. You don’t have to think about your father and the river. Your best friend, who is gone forever. Or your mother, who has nothing left to give you.

Every new scar hardens Charlie’s heart just a little more, yet it still hurts so much. It hurts enough to not care anymore, which is sometimes what has to happen before you can find your way back from the edge.

 

Review:

Trigger warning: self harm, alcohol abuse, mentions of sexual assault

 

Girl in Pieces tells the story of Charlotte, a teenage girl who struggles with self harm. The book starts out with her hospitalized in a mental health facility. She doesn’t speak to anyone, but is glad to be there. Due to a lack of family support, she was homeless prior to the hospital. 

Girl in Pieces isn’t like many other young adult books featuring self harm. It tells the story of a different subset of teenage girls. I like that it gives a voice and a relatable character where there wasn’t one before. I also appreciated that the author didn’t glorify self harm. The story and Charlotte’s journey is very intense, almost a bit much for me at times. She has lots of ups and downs in her journey along the path to recovery and figuring out her future. It’s very realistic. 

While the representation is great, there are multiple aspects that I didn’t love. #1: her relationship with her boyfriend, for multiple reasons. Also, the fact that no one makes her go to school. No explanation about this either. When Charlotte was not making the best decisions for herself I was very frustrated for her. In general I enjoyed reading about her, but didn’t connect with her character as much as I would have liked. 

Overall, a well written story with great representation of self harm and other mental health struggles in general. The downsides didn’t mean a bad book, but more annoyances/frustrations on my part as a reader. Definitely worth checking out!

 

Add to your Goodreads TBR

 

How should we react when we see someone who has self harm scars? Discuss below. 

 

Come say hi!

Twitter: @BooksAndLife1

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4.5 Star Books · ARC Book Reviews · Book Reviews · mental health · non fiction · psychology · Self Help

ARC Review | Are u ok?: A Guide to Caring for Your Mental Health by Kati Morton 

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Are u ok?: A Guide to Caring for Your Mental Health by Kati Morton

Published: December 11, 2018

Publisher: De Capo Lifelong Books 

Pages: 256

Genres: non fiction, mental health, psychology, self help

Rating: 4.5 stars

Recommend to fans of: improving yourself. greater access to mental health services, compassionate professionals

Foodie Vibes: healthy foods, for your specific health needs, that fuels your mind and body 

 

Synopsis:

A licensed marriage and family therapist and You Tube personality, Kati Morton answers the most commonly asked questions about mental health, including when to get help and where to find it.

Everyone struggles with mental health issues from time to time, but the greatest level of misunderstanding comes from knowing the difference between mental health and mental illness, figuring out whether we need professional help and, if so, how to find it. Are u ok? walks readers through the most commonly asked questions about mental health and the process of getting help. From finding the best therapist to navigating harmful and toxic relationships and everything in between, licensed marriage and family therapist and YouTube sensation Kati Morton clarifies and de-stigmatizes the struggles so many of us go through, and encourages readers to reach out for help. What are the red flags of a mental health issue? How do you go about making a first therapy appointment? How do you know if your therapist is a good fit for you? What are the best ways of talking about mental health with your family, friends and colleagues? There are so many questions and concerns, and in the down-to-earth, friendly tone that makes Kati Morton so popular on YouTube, Are u ok? informs and reminds us that we can get through the difficult times and we are never alone.

 

Review:

Thank you to NetGalley, De Capo Lifelong Books, and Kati Morton for an ARC ebook copy to review. As always, an honest review from me. 

Are u okay? is a comprehensive easy to understand book about the therapy process. The text includes information about what it is, explanations of acronyms, types of therapy, different professionals, what to expect with the actual therapy session, navigating insurance & payment, advocating for yourself and more. There’s even a quick bullet point summary of the vital information in the appendix. It’s a very approachable read. It’s great for someone who doesn’t know much about the therapy process or those looking to learn more about mental health. People who are familiar with therapy can still learn from the book, but some topics will already be known to them. 

I liked the writing style. It’s factual but informal to make those unsure about the therapy process feel comfortable. Also if you’ve watched Kati Morton’s videos on YouTube, her unique voice definitely carries over into her book. However, I can see where some people, possibly the older generation, might not be as comfortable with this more casual tone. 

Overall, I think there’s a lot of great information that can help a lot of people. Everyone can learn something from her book. A wonderful resource for people who are considering therapy or know someone considering therapy. 

Also definitely check out her YouTube channel for all things mental health. 

 

Add to your Goodreads TBR

 

Kati Morton’s YouTube Channel 

 

 

 

 

Come say hi!

Twitter: @BooksAndLife1

Instagram: @BooksLifeAndEverythingNice

Goodreads: Amanda (Books, Life and Everything Nice)

Facebook: @BooksLifeAndEverythingNice

 

5 Star Books · Book Reviews · Medical · mental health · non fiction · Self Help

When Life Hits the Fan: A Mindful Guide to Caring for Yourself While Caring For Others by Janet Fouts

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When Life Hits the Fan: A Mindful Guide to Caring for Yourself While Caring For Others by Janet Fouts

Published: August 15, 2018

Publisher: Tatu Digital Media

Pages: 162

Genres: non fiction, self help, mental health, medical

Rating: 5 stars

Recommend to fans of: resources to help with caregiving, all types of caregivers, learning to cope with the demands of caregiving – sanely

Foodie Vibes: quick nutritious cheap meals to fuel you for all the demands of the day

 

Synopsis:

More than 44 million Americans provide care for family members and friends with chronic illness or conditions that require day to day assistance.

In general, caregivers do this out of real compassion and love, or a sense of duty for the person they are caring for.

Often they find themselves thrown into roles that are unfamiliar and sometimes scary; like managing through the medical and insurance system to gain the best possible care for their loved one or understanding the options in the middle of a medical emergency. Stress levels can go through the roof, and over time stress wreaks havoc on the caregiver as well as their loved one.

If the caregiver also has a family, a job, and other responsibilities and caring for their loved one is added to their current roles. While it is a labor of love, it can be exhausting over time, and things start to fall through the cracks, including caring for their own health.

When Life Hits the Fan shares the experiences of a number of caregivers and activities that they can do to take care of themselves, body and soul. The practices in the book come from the author’s training in mindfulness, emotional intelligence and positive psychology as well as her own caregiving journey.

With a practical approach to stress reduction and easy to follow exercises, When Life Hits the Fan helps us understand what’s going on inside our minds and our bodies and ways to create resilience and care for ourselves.

 

Review:

Thank you to NetGalley, Tatu Digital Media and Janet Fouts for an ebook copy to review. As always, an honest review from me.

The book is exactly what I needed to read, as a caregiver. Seriously, if you’re a caregiver in any form, then you need to read the book. The information was so relatable, honest and helpful that I’m going to check out the author’s website for even more caregiving resources.

Maybe you’ve heard the phrase “care for the caregiver.” It is absolutely true. We can’t take care of everyone else without first taking care of ourselves. It’s simply not sustainable in the long run. And most of us are caregivers, in some capacity, for the long term. The author teaches that your compassion needs to extend to yourself or it’s incomplete. So true!

The book is short but packed with helpful information and compassion. The author truly gets what it’s like to be a caregiver. The self care suggested is practical, affordable, generally short in duration, and can be done almost anywhere. I’ve heard some of these suggestions before, but it’s nice to have it all in one book.

When Life Hits the Fan would be great for reading while waiting for your loved one’s appointments, during a few minutes of downtime, etc. The book is accessible, helpful and comes from a compassionate place. I highly highly recommend it if you’re a caregiver in any capacity. 

 

How many of you are caregivers?

What do you do for self care?

 

————————————

 

Twitter: @BooksAndLife1

Instagram: @BooksLifeAndEverythingNice

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Facebook: @BooksLifeAndEverythingNice

3.5 Star Books · Book Reviews · coming of age · Literary Fiction · mental health · Young Adult

Drowning In Light by Anna Benoit

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Drowning in Light by Anna Benoit

Published: August 5, 2017

Publisher: Self Published

Pages: 350

Genres: young adult, coming of age, literary fiction, mental health

Rating: 3.5 stars

Recommend to fans of: flawed characters, books about drug abuse

Foodie Vibes: meals you don’t finish, more alcohol and pills can you can comprehend 

 

Synopsis: 

It all started with a single pain pill.

Up until that pill, high school junior Matt Davidson had it all—or, at least, everyone thought he had it all. A star athlete from a good family, no one suspected the trouble lurking beneath Matt’s carefully constructed façade. And Matt was just fine with that. Because if anyone could hear the dark thoughts that cluttered his mind, they’d know what a selfish, miserable mess he really was.

Matt thinks he can stop. He knows he can stop. And he will, just not yet. Because nothing but the pills can give him a break from his thoughts. Nothing else makes him invincible. Nothing else halts the sinking spiral of his depression.

Nothing… until he meets Amy, a mysterious and beautiful classmate who sparks a passion in him he’s never felt before. As their relationship progresses, Matt knows he can’t have them both. But he also knows he needs his pills. And when he’s finally forced to choose, the decision isn’t as easy as he’d hoped.

 

Review:

Thank you to NetGalley and Anna Benoit for an ebook copy to review. As always, an honest review from me.

Drowning in Light tells the story of Matt, a guy in high school. On the outside he seems to have to all. But if you look closer, his dad’s abusive and has alcohol problems of his own. His mom means well, but doesn’t realize the extent of her son’s problems. She’s content to let things go and believe it will all work out in the end. Matt struggles with drug abuse that has him in a downward spiral. He’s miserable, not coping well, and really doesn’t have a handle on anything anymore. 

The book is not your typical manic pixie dream girl type story. It’s real, raw and complex. His friend/girlfriend doesn’t magically make things better. She tries to help, but has her own baggage to deal with so it’s not a perfect recovery story by any means. I like that it’s a fairly realistic story of drug abuse. I don’t have personal experience with drug abuse, so maybe I’m way off base here. 

However, it was very frustrating at times to read about all of his mistakes and refusal for help. I felt very annoyed towards Matt at times. Also his lifestyle wasn’t that enjoyable to read about. Duh, it’s drug abuse, doing whatever you need to score more pills, and lying to everyone. But I guess I was hoping for more positivity at some point. I was also so frustrated with the adults in his life. Nobody was taking responsibility for making sure Matt got the help he so desperately needed. 

All in all, a realistic portrayal of drug abuse that made for a frustrating read. A good book that doesn’t gloss of the difficult parts of mental illness and drug abuse. 

 

Are you a fan of books with flawed characters? 

Bookish Posts · Medical · What You Missed Wednesdays

What You Missed Wednesdays – Medical Edition

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Photo by Pixabay on Pexels.com

 

What You Missed Wednesdays is exactly as it sounds!

Book reviews of each week’s genre of choice that you might have missed, and I think you should really hear about.

3 Books a Week with 3 Words/Phrases to Describe Them 

Click on the title of each book to be taken to my full review.

I hope you find new books that you’re excited to add to your TBR!

________________________

 

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Passionate Rivals by Radclyffe

4.5/5 stars

Realistic medical romance, strong women, LGBTQIA+ representation 

Add to Goodreads TBR

 

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Flat: Reclaiming My Body from Breast Cancer by Catherine Guthrie

5/5 stars

Very important memoir, forge your own path, supportive without smothering

Add to Goodreads TBR

 

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The Atlas of Disease: Mapping Deadly Epidemics and Contagion from the Plague to the Zika Virus by Sandra Hempel

4/5 stars

Unique way of learning, visual learners, science nerds

Add to Goodreads TBR

 

___________________________

 

Well there you have it!

Another edition of What You Missed Wednesdays.

Keep coming back each Wednesday for more Can’t Miss Books!

Which book(s) are you now adding to your TBR?

___________________________

 

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4 Star Books · Book Reviews · non fiction · psychology

Counseling Insights: Practical Strategies for Helping Others with Anxiety, Trauma, Grief, and More by Vicki Enns

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Counseling Insights: Practical Strategies for Helping Others with Anxiety, Trauma, Grief, and More by Vicki Enns

Published: August 21, 2018

Publisher: Achieve Publishing

Pages: 336

Genres: non fiction, psychology

Rating: 4 stars

Recommend to fans of: informative books about mental health, therapists, psychology students

Foodie Vibes: a relaxing beverage of your choice

 

Synopsis:

As helpers, caregivers, and counsellors, there are times when we need support to be able to help the people we are working with. Hearing from others in similar roles is a key way of finding inspiration and guidance.

This book offers practical strategies for supporting people of all ages who have a variety of issues, whether psychological (anxiety, trauma, depression), based on life circumstances (loss and grief, oppressive societal attitudes), or due to harmful ways of coping with these or other life stressors (self-injury, substance use, suicidality).

Each chapter begins with an examination of a different psychological issue or situation. Case examples of both youth and adults are included for each topic to illustrate both the impact of the issue and the helping process. Authors share insights they have gained from research, counselling experiences, and the unique wisdom of the people they have encountered.

This book is written not only for clinical counsellors, but also for the multitude of frontline helpers who work to support those seeking help and guidance. It is a resource for anyone who identifies as a care provider, including those in the social service, health, education, spiritual care, and social work roles.

 

Review:

I won this ebook for free through Goodreads Giveaways. Thank you to Goodreads, Vicki Enns, and Achieve Publishing for a copy. As always, an honest review from me.

The book’s summary is very close to the title. A book to help, mainly therapists or health professionals help their clients through different aspects of life. The book covers depression, anxiety, self injury, suicidal thoughts, trauma, substance use, LGBT2SQ+, grief and more. 

Each chapter starts with an in depth explanation of the topic and potential struggles a person may deal with. Then 2-3 example patients are introduced with their unique stories, as they relate to the topic at hand. The rest of the chapter alternates between giving information and then partial example sessions with the patients to demonstrate the information being applied. I found this to be very helpful. Also each chapter was written by a different professional in the field. Based on the summary I thought the book would apply more to me, as the caregiver of a family member. While incredibly interesting and informative, I’m probably not the intended audience. Psychology students, mental health professionals and even others who work with these patient populations would probably benefit from this informative book.

I would like to point out that the section on self injury is very insightful. From my experiences in psychology courses in college, many times the information is glossed over quickly or out dated. Not so in this book. A great resource for people looking for accurate information on the topic of self injury. 

Overall, a very informative, user friendly book about a variety of mental health topics. Perfect for those in the field looking for additional information. 

 

4.5 Star Books · ARC Book Reviews · Book Reviews · contemporary fiction · contemporary romance · mental health · Young Adult

ARC Review | Imagine Us Happy by Jennifer Yu

Be sure to answer my question at the bottom of the page!

Please and thank you, loves 

 

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Imagine Us Happy by Jennifer Yu

Published: October 23, 2018

Publisher: Harlequin Teen

Pages: 384

Genres: young adult, mental health, contemporary fiction, contemporary romance

Rating: 4.5 stars

Recommend to fans of: realistic young adult novels, books about mental health, great friendships 

Foodie Vibes: pizza

 

Synopsis:

Stella lives with depression, and her goals for junior year are pretty much limited to surviving her classes, staying out of her parents’ constant fights and staving off unwanted feelings enough to hang out with her friends Lin and Katie.

Until Kevin. A quiet, wry senior who understands Stella and the lows she’s going through like no one else. With him, she feels less lonely, listened to—and hopeful for the first time since ever…

But to keep that feeling, Stella lets her grades go and her friendships slide. And soon she sees just how deep Kevin’s own scars go. Now little arguments are shattering. Major fights are catastrophic. And trying to hold it all together is exhausting Stella past the breaking point. With her life spinning out of control, she’s got to figure out what she truly needs, what’s worth saving—and what to let go.

 

Review:

Thank you to NetGalley, Harlequin Teen and Jennifer You for an ARC ebook copy to review. As always, an honest review from me.

Imagine Us Happy tells the story of two teens who are navigating life, high school, relationships and family life while dealing with depression. Stella and Kevin meet at the beginning of the school year. They end up dating for the whole year. We know its not going to end well, and the book is the story of their lives the past year.

I like that the author portrays depression and therapy in a realistic manner. That it’s a process, not a magical cure that will fix everything in a few sessions. Stella is doing better because of therapy but she has to keep working on herself. It’s not easy. The book portrays the challenges of dating or any extra stress when you’re dealing with mental health issues. No that it can’t be done, but both people have to be taking care of themselves in healthy ways. 

A super realistic look at depression, dating and friendships. I think this is going to be a very popular young adult book for years to come!

 

If you could give advice to characters/people dating with mental health issues, what would you say?