Uplifting stuff! Okay, not. The ending is hopeful, in that Lia begins to move beyond the hallucinations and her own family issues to begin to take a grip and flourish in her life. Anderson is a fabulous writer, which is how the ending keeps from seeming pat. Overall, I'd recommend it, but with a notation for the sensitive that it gets pretty dark and self-loathing in Lia's mind. I'd read it on a sunny day.