I know that some readers might be put off by some of the rough, intimate scenes and a few of the words used to describe it, but this book is realistic. This book is not that clean, suburban world. People with money might be able to pay for prescriptions for opiod drugs and have "acceptable" substance abuse problems that our society feels free to talk about and have television ads about, up to and including opiod-induced constipation with clean cut, hardworking citizens endorsing the drug remedies. This book is not a make believe world where everyone is wealthy and gorgeous it is real, taking the reader down back roads that we all know exist. The problematic, substance-abuse situations sounded real, and at the end of the book when I read some background on the author, I understood why this book was believable. I had to know what the outcome would be for this novel's young female protagonist in a book which tells a story with unique American characters, and some gritty, tense moments. I haven't stayed up late to finish a book in a long time, but that is exactly what I did for ALL THE UGLY AND WONDERFUL THINGS.
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