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When Lia is released from New Seasons, a hospital for patients recovering from eating disorders, she moves in with her father, stepmother, and stepsister. Lia’s family trusts that she will eat, follow her doctors’ orders, and try to stay healthy. However, Lia’s eating disorder worsens without her father or stepmother, Jennifer, realizing how badly it has become. Lia has several tricks for lying about her eating habits. For example, Lia leaves dirty plates in the kitchen or makes a mess in the microwave to give the impression that she has eaten food. Every week, Jennifer must weigh Lia to make sure she has not fallen below an unhealthy weight. Lia sews quarters into the pockets of her bathrobe and tampers with the scale so that it will read as a heavier weight, even as Lia herself continues to lose weight. Lia’s parents want to trust that Lia is getting better, but Lia continues to find ways of deceiving them.
Lia also has trouble trusting doctors. While hospitalized, Lia realizes it is easy to tell doctors what they want to hear. Lia thinks, “I knew what he wanted to hear. He couldn’t stand me being sick. Nobody can. They only want to hear that you’re healing, you’re in recovery, taking it one day at a time” (83). After Lia tells the doctor the answer she thinks he wants to hear, he smiles. Lia realizes, “I had figured out that my eyes were broken long before that. But that day I started to worry that the people in charge couldn’t see either” (83). Even though Lia is lying, her answer satisfies the doctor. Lia worries that the doctors can’t really see that she isn’t recovering. This makes Lia lose trust in doctors.
Lia also has trouble trusting her therapist, Dr. Parker. At first, Lia opened up to Dr. Parker, but Lia starts to feel as though “she was moving things around in my brain without permission” (114). Since then, Lia stays mostly quiet during appointments. Lia finally opens up to Dr. Parker toward the end of the novel and admits to seeing Cassie haunting her, which makes Dr. Parker suggest Lia should be admitted to a psychiatric-care ward. This response causes Lia panic and take a cab from Dr. Parker’s office instead of waiting for Jennifer to arrive. Lia is reluctant to trust doctors because their diagnoses can be scary and because she may not always agree with them. When Lia is admitted to the hospital for patients with eating disorders for the third time, at the end of the novel, Lia says, “I don’t lie to the nurses this time […] I argue with the doctors because I don’t believe in their brand of magic, not a hundred percent, and it’s something I need to talk about. They listen” (276). Lia begins to trust the adults in her life, especially as it pertains to her recovery. Lia still doesn’t always trust doctors, but she doesn’t lie to them either. This shows Lia is making progress toward trusting others and trying to be more honest.
The novel opens with Lia discovering that her former best friend, Cassie, died suddenly over the weekend. For most of the novel, Lia insists to her family that she is fine. However, Cassie haunts Lia, appearing to Lia as a ghost only Lia can see. This is a sign that Lia is still struggling to cope with, and mourn, Cassie’s death. Lia feels guilty for not being there for Cassie on the night of Cassie’s death and struggles to get closure. These are signs that Lia is struggling to cope with her grief. Lia wants to attend Cassie’s wake and funeral, but Lia’s parents don’t want her to go because they think it will upset her. Lia’s mother tells her, “Absolutely not. You’re emotionally fragile. I’ll pay our respects at the funeral on Saturday […] It’ll upset you too much” (72). Lia’s mother is convinced the wake and funeral will be too hard on Lia, but Lia wants to pay her respects and hopes it will bring her some closure. No one is sure of the best way to cope with grief and Lia and her parents have different opinions on what will be best for Lia.
Toward the end of the novel, Cassie appears to Lia one last time in the motel. Lia suggests that Cassie focus on the good memories from her life. As Cassie does so, she begins to fade. Before Cassie disappears, Lia apologizes to Cassie for not being there for her, and Cassie apologizes to Lia for not asking for help sooner. Even though this is all in Lia’s head, this brief interaction finally allows Lia to start to get some peace from Cassie. Still, Lia thinks, “I miss Cassie so much I can only think about her in sad, short gasps. She shows up now and then but rarely says anything” (271). Lia will never totally get over Cassie’s death, but grief becomes more manageable over time.
In addition to her worsening eating disorder, Lia self-harms, cutting herself with a razor blade. Lia also experiences negative self-thoughts, calling herself “Stupid/fat/stupid/baby/stupid/loser” (60) among other names. Later, trying to explain why she hurts herself, Lia thinks, “Listen to the whispers that curl into your head at night, calling you ugly and fat and stupid and bitch and whore and worst of all ‘a disappointment.’ Puke and starve and cut and drink because you don’t want to feel any of this” (161). This moment offers some insight into Lia’s mental health. Lia turns to self-harm and limits her eating as a way to cope with the negative thoughts she has about herself, as well as the ones people have said to her over the years. Lia remembers when she first started cutting her skin the same year her body changed, her parents divorced, and Cassie started going off to camp and becoming interested in extracurriculars that didn’t involve Lia. At the time, Lia thought, “It made it easier not to think about having my body and by family and my life stolen, made it easier not to care…” (166).
Lia’s worsening mental health culminates in a suicide attempt. Lia has been trying to lose weight as a way to make herself feel thinner and to cope with the difficult thoughts going on in her head, but Lia knows “The number doesn’t matter. If I got down to 070.00, I’d want 065.00. If I weighed 010.00, I wouldn’t be happy until I got down to 005.00. The only number that would ever be enough is 0. Zero pounds, zero life” (220). No matter how much weight she loses, this will never help her get over the negative thoughts in her head. The self-harming behaviors will never totally help Lia handle her mental health. Lia eventually does accept help at the end of the novel, allowing herself to be admitted as an inpatient at a clinic for patients with eating disorders. Lia starts to open up to her doctors, nurses, therapist, and family, and shows progress toward healthier behaviors.
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By Laurie Halse Anderson
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Family
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Fathers
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Fear
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Friendship
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