This book is an intimate portrait of what it’s like to live with schizoaffective disorder of the bipolar type as well as a biting, revelatory critique of America’s mental health culture. Emmett Rensin has written and edited articles for major national media outlets, and taught writing and literature at prestigious schools. But he has also lost jobs and friends, been hospitalized and institutionalized, and cycled through a daunting combination of medications. Rensin confronts the dysfunction in current mental health narratives, contrasting what he calls high culture mental illness “high culture”—in which we affirm the prevalence of anxiety and encourage regular therapy, insisting that the “mentally ill” aren’t dangerous or even weird—with even progressive society’s inability to contend with people with more severe forms of mental illness.