Books set in psychiatric institutions fascinate me. Their world is completely different from anything that we experience on a regular basis--the doctors, the regimens, the interactions. It also takes a lot of careful consideration to craft a character living in a setting like this. Brian James created a very interesting world here, but for some reason, something didn't 100% click for me with this one. 
 The main character, Sabrina, is locked up in a psychiatric facility and diagnosed as schizophrenic. She's slowly progressing towards normal when Alex enters her life and turns everything upside down. She rather quickly spirals backwards into her delusions. 
 Sabrina is really a fascinating character to follow. James really takes you straight into her head and determining the dreams and delusions from reality is next to impossible at times. Seeing the world through Sabrina's eyes shows the reader both the beauty and the terror that can come with such a life. It was really difficult for me, as a reader, to watch her (view spoiler)[stop taking the medications and for her delusions to beginning returning at full force (hide spoiler)]. I liked her so much as a character that I wanted her to recover and have a shot at a normal life. 
 Alex...well, as a love interest he was a bit of a disappointment to me at times. I wanted Sabrina to have someone who loved her and her wacky way of thinking, feeling, and seeing things. Alex seemed like that person...at least at first. I don't think that he was ever able to grasp the severity of Sabrina's disease, and I didn't like how (view spoiler)[he convinced her to stop taking the medications (hide spoiler)]. He redeemed himself quite a bit in the later parts of the story. 
 I'm not exactly sure what makes this more of a three star than a four star book for me. I definitely enjoyed reading it, but it wasn't the sort of book that I was racing to pick up each whenever I had time to read. The pacing is a bit slow and the world didn't pull me in as much as I was expecting. The most exciting moments come rather late in the story, and while those moments were incredibly well-written, they were simply difficult to GET to because of the slower pacing at the beginning. I wouldn't warn anyone away from this book if they're interested, just be aware that it's not a fast-paced read.