A Kirkus Reviews Best Nonfiction Book of 2017 "Lights On, Rats Out is unlike anything I've ever read--a powerfully, staggeringly honest book that is excruciating in places, and also completely haunting. LeFavour's intimate account of her relationship with her psychiatrist is intensely compelling, forthright, and brave. Did he overstep? Was he somehow pulled in by her beyond what was therapeutically appropriate or helpful? This is a fascinating memoir in a category of its own."--Dani Shapiro As a young college graduate a year into treatment with a psychiatrist, Cree LeFavour began to organize her days around the cruel, compulsive logic of self-harm: with each newly lit cigarette, the world would drop away as her focus narrowed on the blooming release of pleasure-pain as the burning tip was applied to an unblemished patch of skin. Her body was a canvas of cruelty; each scar a mark of pride and shame. In sharp and shocking language, Lights On, Rats Out brings us closely into these years. We see the world as Cree did--turned upside down, the richness of life muted and dulled, its pleasures perverted. The heady thrill of meeting with her psychiatrist, Dr. Adam N. Kohl--whose relationship with Cree is at once sustaining and paralyzing--comes to be the only bright spot in her days. Lights On, Rats Out describes a fiercely smart and independent woman's charged attachment to a mental health professional and the dangerous compulsion to keep him in her life at all costs.