On the outside, she appears to have it all. She's creative, beautiful, confident. But inside Victoria Leatham struggles with silent, secret, and unbearable pain. In her late teens, Leatham is struck with an undeniable urge to cut herself. Oddly, the wounds she inflicts on herself mute the pain she feels inside.

This memoir, a darkly humorous and often chilling account, vividly details Leatham's ordeal and reveals her most intimate thoughts as she struggles with cutting and a range of other psychological problems including eating disorders, sexual promiscuity, substance abuse, and bipolar disorder. And finally, it describes her discovery of the psychological secret that helps her escape from this spiral of self-destruction.