This book is not good. Katie is so unlike most high school teen girls that I can't see how anyone could relate to her. Her pushy mother is such a stereotype. Methinks the author read Little Girls in Pretty Boxes by Joan Ryan - 100 times better at describing the pressures young skaters and gymnasts go through - before writing his own book. The Best Little Girl in the World is actually much better - it gives more solid information on anorexia than this book gives about cutting - but in both books the "Sandy Sherman" character kind of creeps me out. He should take his own feelings out of it, and not wipe his characters' eyes when they are crying. And I don't get why he is discussing Katie's issues with his wife! What happened to confidentiality??? There has to be a better book about cutting.