I really, really like this book.
Listening to her argue with herself felt exactly like listening to my own internal dialogue. Several times I wondered how she got inside my head. While I've never been *that sick* I think in a lot of the same ways portrayed in this book.
Can I also just say that it is extremely rare for me to read or hear second person narrative and appreciate it? This author is insanely talented. The way she crafts her sentences and imagines her story are unique and artful. 
It's a memoir, but definitely not an autobiography. It felt so communicative and fluid. I think she purposely writes it so it's less like hearing her story and more like looking at a reflection of her/you/everyone. I'm sure that it doesn't feel as intensely relatable to every reader, but I think anyone would feel its intense humanity.
The narrator does an incredible job with this audiobook as well. 
I'm gushing but I do want to give reason for not rating it five star- because I went back and forth on that for a while. The bits about hating dogs felt a little unnecessary. Sometimes the feminist vibes got kinda preachy and it was maybe not the right time or place so it kind of drew from the story for me. Other times it felt a little drawn out, which was definitely part of the beauty of it but could also lose you if you aren't dialed in. That's just me being picky and overall I loved it.