There are so many books out there about eating disorders being 'all about control', or about some teenager who made a miraculous recovery; this squashes those books flat with its honesty and realism. This shows you how it really is, and the language Hornbacher has used to convey the confused, disorientated feeling you get when you're starving and purging yourself to death is spot on. As a sufferer of both anorexia and bulimia, there were some points where I had to put the book down because I felt so faint, because what she was describing felt so true, but this is a book that grips you and demands your attention because once you've started it, you can't think of anything else until you've finished it.
Hornbacher makes no apologies for what she's been through and she doesn't sugar-coat anything. Hers may be a particularly dramatic journey through eating disorders but sufferers will identify with the all-consuming nature of the illness, and those with an interest in the subject can see for themselves just how truly horrifying eating disorders really can be. All is not 'happily ever after' at the end of this book, which keeps in fitting with Hornbacher's honest style. Marya closes the book with the reminder that if you've suffered for a long time, the illness will never really leave you. This may sound depressing but it makes you realise (if you're ill) you never want to be as ill as Marya was, and if you've never suffered, it makes you realise you never want to start down the path of starving, bingeing and purging yourself to death. It's inspiring in its realism, and is the most honest book I've ever read.