A compelling memoir about a close yet competitive friendship between two gifted high-achievers in the suburbs of NYC from elementary school through their Ivy League years, interwoven with a detailed historical examination of the treatment of severe mental illnesses in the US from the mid to late 20th Century. These parallel narrative threads inexorably collide at an inflection point that is challenging, thought-provoking and ultimately devastating. A deeply immersive journey, not for those seeking tidy resolutions.