I have read this book a few times and had mixed reactions. I have been hospitalized twice for anorexia at the same hospital as Marya went to, and her experiences are brutally honest and true-to-life. Anyone wanting to understand anorexia or bulimia ought to read this book. Her quotes about how much she hated the bulimia episodes and how anorectics view bulimics are usually right on (although as both an anorectic and a bulimic, I have found quite a few exceptions to her "rule." I still suffer greatly from the two disorders, and it is refreshing to get someone's voice out there.
One CAUTION, however: If you suffer from an eating disorder, be very careful in reading this book. I have needed to put it down quite a few times because it was too intense for me, and I have been triggered by it quite a few times. But if you want to know what is going on inside your loved one's head, remember that everyone is different so do not assume he/she feels like Marya does, but also bear in mind that Marya has been through a lot of the same stuff that many people with ED's go through.