I found this a fantastic and utterly compelling read, but rather than explore what the book is about etc in this review, I just wnat to pay Joanne Limburg massive respect for achieving it. For someone with Joanne Limburg's illness, writing this book must have been fraught with difficulty. For someone for whom obsessive rumination is a debilitating disorder, writing any piece of work is a battleground, fraught with tension and anxiety. I have a fair idea of the kind of demons she would have had to overcome to put pen to paper to write something so clear, honest and passionate and I think she has been extremely brave and triumphant. Rumination and the inevitably accompanying (or co-morbid) depression and anxiety, are more common in writers than perhaps anyone knows - because basically, you have to live in your head a lot to be a writer. There are many medics who would suggest stopping writing and doing something else would be helpful and many writers who have had to do just that in order to lead a happier and peaceful life. But Joanne Limburg has battled on. In theway book itself, you can see evidence of the illness - the need to reassure herself, justify herself etc by insistent references to, for example, texts and papers that support her case that she is not in fact mad (OCD sufferers are not mad, they are ill. They are fully aware their thoughts are not rational) and to justify taking v small amounts of medication (the maintenance dose for Prozac on this kind of illness is 20g). But the book is a very clear, very thorough, passionate, honest and fascinating read. I was shocked how long it took her to realise she had OCD and that OCD was separate from her and something she had not something she is. It is a very common illness and there are good treatments for it, including, as she says, CBT. (Freudian and analytical type therapies often make it worse as they encourage more living in the head, more questions with out answers, more loops of thought going nowhere, create the idea there is a reason for for having OCD, which there may or not be, but knowing the reason is nowhere near bringing about an end to it - these kind of therapies are naval gazing and not solution based ). It's good to see a book about OCD that shows that it's not all about hand washing and checking you turned off the gas. It's very common and there must be a lot of undiagnosed cases, so I hope this helps people - esp people with generalised patterns of worrying and the ruminators and reassurance seekers. Well done to her.