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* MemeticMutation: '''Must. Not. Eat.'''[[labelnote:Explanation]]Chapter 40 is nothing but this phrase repeated over and over, more than a hundred times, the last one in bold. It's a MadnessMantra for Lia, as she's coming closer and closer to a complete breakdown. The striking visuals of the chapter made it one of the most memorable parts of the entire book.[[/labelnote]]
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* MemeticMutation: '''Must. Not. Eat.'''[[labelnote:Explanation]]Chapter ''' [[labelnote:Explanation]]Chapter 40 is nothing but this phrase repeated over and over, more than a hundred times, the last one in bold. It's a MadnessMantra for Lia, as she's coming closer and closer to a complete breakdown. The striking visuals of the chapter made it one of the most memorable parts of the entire book.[[/labelnote]]
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* TheWoobie: Subtly, but a case could be made for Lia's mother Dr. Chloe Marrigan being this trope. She had a ShotgunWedding to Lia's father after getting pregnant and spent several years in a loveless marriage with him, during which he cheated on her with at least four or five other women, before they finally got a divorce. In the present, she lives alone and her relationship with her daughter is so troubled that Lia doesn't even want to spend a week of Christmas break at her house. Her job as a cardiologist is implied to be highly stressful and she has no one to support her when things get hard. To drive the point home, her house is covered in halfhearted attempts at redecoration and her garden hasn't been taken care of in a long time and is overrun with dead plants.
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* TheWoobie: Subtly, but a case could be made for Lia's mother Dr. Chloe Marrigan being this trope. She had a ShotgunWedding to Lia's father after getting pregnant and spent several years in a loveless marriage with him, during which he cheated on her with at least four or five other women, before they finally got a divorce. In the present, she lives alone and her relationship with her daughter is so troubled that Lia doesn't even want to spend a week of Christmas break at her house. Her job as a cardiologist is implied to be highly stressful and she has no one to support her when things get hard. To drive the point home, her house is covered in halfhearted attempts at redecoration and her garden hasn't been taken care of in a long time and is overrun with dead plants.plants.
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* {{Anvilicious}}: The book is not at all subtle about just how badly eating disorders can mess people up. Aside from the clear physical degradation that Lia's body goes through, the constant lying and manipulation Lia has to do in order to make it all happen paint a very bleak outlook, and repeatedly hit the reader over the head that anorexia, bulimia, and other such eating disorders can and will destroy one's life. However, [[MisaimedFandom that didn't stop some pro-anorexia supporters from taking the wrong message from it anyways]].
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* MisaimedFandom: A major one. Some pro-anorexia circles consider this book their bible, and glamorise Lia's struggle while conveniently leaving out the physical and emotional suffering this condition has brought her. Anderson herself [[http://lauriehalseanderson.tumblr.com/post/68575414912/im-furious-with-pro-ana-people-ripping-out-quotes was horrified and infuriated with this interpretation]]. The book goes into graphic detail about not just what anorexia does to Lia's body ([[ShownTheirWork which is scientifically accurate, at that]]), but also how Lia's webs of lies about how she's supposedly beaten anorexia but continues with it anyways end up destroying her family. There's even a chapter containing only the words "Must. Not. Eat." over and over again, repeated over a hundred times as a MadnessMantra to show that Lia is undergoing SanitySlippage from being so underweight and stressed out by what she's done to the people she loves. But pro-ana readers take it as a SurvivalMantra, using the book to glamorize anorexia, and [[FanonDiscontinuity completely ignore]] the consequences on Lia's health and family life her anorexia has. [[spoiler:Finally, in the ending, Lia ultimately begins to actually recover from her eating disorder, realizing that it came dangerously close destroying Lia's life as it did her best friend Cassie, who was DrivenToSuicide. In short, the ultimate message of the book is that anorexia will ruin your life and it needs to be cured as soon as possible. So the fact that pro-ana followers use this book as a "how-to" guide goes directly against what the author was saying and completely ignores how terrible one's life will become if they go through with it.]]
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* MisaimedFandom: A major one. Some pro-anorexia circles consider this book their bible, and glamorise Lia's struggle while conveniently leaving out the physical and emotional suffering this condition has brought her. Anderson herself [[http://lauriehalseanderson.tumblr.com/post/68575414912/im-furious-with-pro-ana-people-ripping-out-quotes was horrified and infuriated with this interpretation]]. The book goes into graphic detail about not just what anorexia does to Lia's body ([[ShownTheirWork which is scientifically accurate, at that]]), but also how Lia's webs of lies about how she's supposedly beaten anorexia but continues with it anyways end up destroying her family. There's even a chapter containing only the words "Must. Not. Eat." over and over again, repeated over a hundred times as a MadnessMantra to show that Lia is undergoing SanitySlippage from being so underweight and stressed out by what she's done to the people she loves. But pro-ana readers take it as a SurvivalMantra, using the book to glamorize anorexia, and [[FanonDiscontinuity completely ignore]] the consequences on Lia's health and family life her anorexia has. [[spoiler:Finally, in the ending, Lia ultimately begins to actually recover from her eating disorder, realizing that it came dangerously close destroying Lia's life as it did her best friend Cassie, who was DrivenToSuicide.died an UndignifiedDeath, [[DyingAlone alone in a hotel room]]. In short, the ultimate message of the book is that anorexia will ruin your life and it needs to be cured as soon as possible. So the fact that pro-ana followers use this book as a "how-to" guide goes directly against what the author was saying and completely ignores how terrible one's life will become if they go through with it.]]
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* MisaimedFandom: A major one. Some pro-anorexia circles consider this book their bible, and glamorise Lia's struggle while conveniently leaving out the physical and emotional suffering this condition has brought her.
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* MisaimedFandom: A major one. Some pro-anorexia circles consider this book their bible, and glamorise Lia's struggle while conveniently leaving out the physical and emotional suffering this condition has brought her. Anderson herself [[http://lauriehalseanderson.tumblr.com/post/68575414912/im-furious-with-pro-ana-people-ripping-out-quotes was horrified and infuriated with this interpretation]]. The book goes into graphic detail about not just what anorexia does to Lia's body ([[ShownTheirWork which is scientifically accurate, at that]]), but also how Lia's webs of lies about how she's supposedly beaten anorexia but continues with it anyways end up destroying her family. There's even a chapter containing only the words "Must. Not. Eat." over and over again, repeated over a hundred times as a MadnessMantra to show that Lia is undergoing SanitySlippage from being so underweight and stressed out by what she's done to the people she loves. But pro-ana readers take it as a SurvivalMantra, using the book to glamorize anorexia, and [[FanonDiscontinuity completely ignore]] the consequences on Lia's health and family life her anorexia has. [[spoiler:Finally, in the ending, Lia ultimately begins to actually recover from her eating disorder, realizing that it came dangerously close destroying Lia's life as it did her best friend Cassie, who was DrivenToSuicide. In short, the ultimate message of the book is that anorexia will ruin your life and it needs to be cured as soon as possible. So the fact that pro-ana followers use this book as a "how-to" guide goes directly against what the author was saying and completely ignores how terrible one's life will become if they go through with it.]]
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* UnintentionallyUnsympathetic: Lia for some readers, given that she constantly lies to the people around her and resists their efforts to help her recover. Though this was possibly an IntendedAudienceReaction, given that the main conflict of the book is her struggle against her own self-destructive impulses. It is notable that several other characters, most notably her parents and stepmother, [[WhatTheHellHero openly call her out for her lying]] and self-destructive habits that are taking their toll on not just her, but the entire family.
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* TooBleakStoppedCaring: It can hard to root for Lia. Her struggles with her eating disorder are meant to be sympathetic, but the way she's been lying to her family is not, meaning the book has to walk a very fine line, and sometimes steps over it. It was possibly an IntendedAudienceReaction to find Lia hard to root for, but her family isn't much better, given her stepmom came into Lia's life due to a ShotgunWedding from getting pregnant, and the divorce from Lia's dad hasn't exactly provided a stable space for Lia, Emma, or anyone else. But the fact that Lia continues to lie even after seeing firsthand how bad things are getting, [[spoiler:including self-harming herself into unconsciousness and traumatizing her step-sister in the process]], as well as how badly everyone around Lia treats her, and the book can be a chore to get through because there's very few breaks from all the trauma.
* UnintentionallyUnsympathetic: Lia for some readers, given that she constantly lies to the people around her and resists their efforts to help her recover. Though this was possibly an IntendedAudienceReaction, given that the main conflict of the book is her struggle against her own self-destructive impulses. It is notable that several other characters, most notably her parents and stepmother, [[WhatTheHellHero openly callher Lia out for her lying]] lying and self-destructive habits that are taking their toll on not just her, but the entire family.family]].
* UnintentionallyUnsympathetic: Lia for some readers, given that she constantly lies to the people around her and resists their efforts to help her recover. Though this was possibly an IntendedAudienceReaction, given that the main conflict of the book is her struggle against her own self-destructive impulses. It is notable that several other characters, most notably her parents and stepmother, [[WhatTheHellHero openly call
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Zero Context Example. And if you have to hide it in spoiler tags, it's most certainly not this trope.
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* SignatureScene: [[spoiler:Lia shredding herself into a bloody mess and sending herself into a coma right before sweet, innocent Emma stumbles across the scene and is scarred for life by the horror]]. [[FridgeHorror As disturbing as that is to think about.]]
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Poisonous Friend is no longer a trope
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* AlternateCharacterInterpretation: Cassie was the book's real villain. She introduced Lia to the obsession that would destroy her body and ruin her adolescence, then blamed Lia for being the bad influence when Cassie herself slipped up enough to draw her parents' concern. Her very last words for Lia are far more haunting, and far more indicative of how much of a PoisonousFriend she was, than any of the things Lia's subconscious had spoken through the "ghost" Cassie's mouth.
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* AlternateCharacterInterpretation: Cassie was the book's real villain. She introduced Lia to the obsession that would destroy her body and ruin her adolescence, then blamed Lia for being the bad influence when Cassie herself slipped up enough to draw her parents' concern. Her very last words for Lia are far more haunting, and far more indicative of how much of a PoisonousFriend ToxicFriendInfluence she was, than any of the things Lia's subconscious had spoken through the "ghost" Cassie's mouth.
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* HardToAdaptWork: No adaptations of this book have yet been made or even attempted, likely because Lia's struggle with anorexia would be highly difficult (and NightmareFuel-inducing) to realistically portray in a live-action film, or any other media format besides text.
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* HardToAdaptWork: No adaptations of this book have yet been made or even attempted, likely because Lia's struggle with anorexia would be highly difficult (and NightmareFuel-inducing) to realistically portray in a live-action film, or any other media format besides text. However, the existence of the film ''Film/ToTheBone'', which deals with similar subject matter, might mean that a ''Wintergirls'' adaptation isn't totally impossible.
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* TheWoobie: Subtly, but a case could be made for Lia's mother Dr. Chloe Marrigan being this trope. She had a ShotgunWedding to Lia's father after getting pregnant and spent several years in a loveless marriage with him, during which he cheated on her with at least four or five other women, before they finally got a divorce. In the present, she lives alone and her relationship with her daughter is so troubled that Lia doesn't even want to spend a week of Christmas break at her house. Her job as a cardiologist is implied to be highly stressful and she has no one to support her when things get hard. Her house is covered in halfhearted attempts at redecoration and her garden is overrun with dead plants.
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* TheWoobie: Subtly, but a case could be made for Lia's mother Dr. Chloe Marrigan being this trope. She had a ShotgunWedding to Lia's father after getting pregnant and spent several years in a loveless marriage with him, during which he cheated on her with at least four or five other women, before they finally got a divorce. In the present, she lives alone and her relationship with her daughter is so troubled that Lia doesn't even want to spend a week of Christmas break at her house. Her job as a cardiologist is implied to be highly stressful and she has no one to support her when things get hard. Her To drive the point home, her house is covered in halfhearted attempts at redecoration and her garden hasn't been taken care of in a long time and is overrun with dead plants.
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* UnintentionallyUnsympathetic: Lia for some readers, given that she constantly lies to the people around her and resists their efforts to help her recover. Though this was possibly an IntendedAudienceReaction, given that the main conflict of the book is her struggle against her own self-destructive impulses. It is notable that several other characters, most notably her parents and stepmother, [[WhatTheHellHero openly call her out for her lying]] and self-destructive habits that are taking their toll on not just her, but the entire family.
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* UnintentionallyUnsympathetic: Lia for some readers, given that she constantly lies to the people around her and resists their efforts to help her recover. Though this was possibly an IntendedAudienceReaction, given that the main conflict of the book is her struggle against her own self-destructive impulses. It is notable that several other characters, most notably her parents and stepmother, [[WhatTheHellHero openly call her out for her lying]] and self-destructive habits that are taking their toll on not just her, but the entire family.family.
* TheWoobie: Subtly, but a case could be made for Lia's mother Dr. Chloe Marrigan being this trope. She had a ShotgunWedding to Lia's father after getting pregnant and spent several years in a loveless marriage with him, during which he cheated on her with at least four or five other women, before they finally got a divorce. In the present, she lives alone and her relationship with her daughter is so troubled that Lia doesn't even want to spend a week of Christmas break at her house. Her job as a cardiologist is implied to be highly stressful and she has no one to support her when things get hard. Her house is covered in halfhearted attempts at redecoration and her garden is overrun with dead plants.
* TheWoobie: Subtly, but a case could be made for Lia's mother Dr. Chloe Marrigan being this trope. She had a ShotgunWedding to Lia's father after getting pregnant and spent several years in a loveless marriage with him, during which he cheated on her with at least four or five other women, before they finally got a divorce. In the present, she lives alone and her relationship with her daughter is so troubled that Lia doesn't even want to spend a week of Christmas break at her house. Her job as a cardiologist is implied to be highly stressful and she has no one to support her when things get hard. Her house is covered in halfhearted attempts at redecoration and her garden is overrun with dead plants.
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* FridgeHorror: Before Cassie was 9, something bad involving a boy happened to her in her old neighborhood, implied to be some kind of sexual harassment or even assault. Later when she's in fifth grade, her father blames and yells at her for beating up a boy who snapped the back of her bra. Considering the kind of person this incident shows him to be, it's possible he blamed and punished her for the undescribed previous incident as well, whatever it was. Poor girl.
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** Emma is only in third grade, but Jennifer's EducationMama tendencies are already showing, pushing her into sports, violin lessons, and conversational French while worrying about her weight. Could Emma develop her own issues with her mother as she grows older?
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** Emma is only in third grade, but Jennifer's EducationMama tendencies are already showing, pushing her into sports, violin lessons, and conversational French while worrying about her weight. Could Emma develop her own issues with her mother as she grows older?older, as Lia and Cassie did with theirs?
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* UnintentionallyUnsympathetic: Lia for some readers, given that she constantly lies to the people around her and resists their efforts to help her recover. Though this was possibly an IntendedAudienceReaction, given that the main conflict of the book is her struggle against her own self-destructive impulses. It is notable that several other characters, most notably her parents and stepmother, [[WhatTheHellHero openly call her out for her lying.]]
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* UnintentionallyUnsympathetic: Lia for some readers, given that she constantly lies to the people around her and resists their efforts to help her recover. Though this was possibly an IntendedAudienceReaction, given that the main conflict of the book is her struggle against her own self-destructive impulses. It is notable that several other characters, most notably her parents and stepmother, [[WhatTheHellHero openly call her out for her lying.]]lying]] and self-destructive habits that are taking their toll on not just her, but the entire family.
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** Emma is only in third grade, but Jennifer's EducationMama tendencies are already showing, pushing her into violin lessons and conversational French while worrying about her weight. Could Emma develop her own issues with her mother as she grows older?
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** Emma is only in third grade, but Jennifer's EducationMama tendencies are already showing, pushing her into sports, violin lessons lessons, and conversational French while worrying about her weight. Could Emma develop her own issues with her mother as she grows older?
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* FanficFuel:
** If Lia and Elijah ever met up again, what would they say to each other? What could Elijah be doing with his life after he ran off? How would he react to Lia's recovery? Would it be possible for them to have a romantic relationship?
** Lia drifted away from her other friends before Cassie's death, but some of them are shown to still be friendly to her. Could she reconnect with them?
** Emma is only in third grade, but Jennifer's EducationMama tendencies are already showing, pushing her into violin lessons and conversational French while worrying about her weight. Could Emma develop her own issues with her mother as she grows older?
** If Lia and Elijah ever met up again, what would they say to each other? What could Elijah be doing with his life after he ran off? How would he react to Lia's recovery? Would it be possible for them to have a romantic relationship?
** Lia drifted away from her other friends before Cassie's death, but some of them are shown to still be friendly to her. Could she reconnect with them?
** Emma is only in third grade, but Jennifer's EducationMama tendencies are already showing, pushing her into violin lessons and conversational French while worrying about her weight. Could Emma develop her own issues with her mother as she grows older?
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* MemeticMutation: '''Must. Not. Eat.'''[[labelnote:Explanation]]Chapter 40 is nothing but this phrase repeated over and over, more than a hundred times. It's a MadnessMantra for Lia, as she's coming closer and closer to a complete breakdown. The striking visuals of the chapter made it one of the most memorable parts of the entire book.[[/labelnote]]
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* MemeticMutation: '''Must. Not. Eat.'''[[labelnote:Explanation]]Chapter 40 is nothing but this phrase repeated over and over, more than a hundred times.times, the last one in bold. It's a MadnessMantra for Lia, as she's coming closer and closer to a complete breakdown. The striking visuals of the chapter made it one of the most memorable parts of the entire book.[[/labelnote]]
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* HardToAdaptWork: No adaptations of this book have yet been made, likely because Lia's struggle with anorexia would be highly difficult (and NightmareFuel-inducing) to realistically portray in a live-action film.
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* HardToAdaptWork: No adaptations of this book have yet been made, made or even attempted, likely because Lia's struggle with anorexia would be highly difficult (and NightmareFuel-inducing) to realistically portray in a live-action film.film, or any other media format besides text.
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* HardToAdaptWork: No adaptations of this book have yet been made, likely because Lia's struggle with anorexia would be highly difficult to realistically portray in a live-action film.
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* HardToAdaptWork: No adaptations of this book have yet been made, likely because Lia's struggle with anorexia would be highly difficult (and NightmareFuel-inducing) to realistically portray in a live-action film.
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* HardToAdaptWork: No adaptations of this work have yet been made, likely because Lia's struggle with anorexia would be highly difficult to realistically portray in a live-action film.
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* HardToAdaptWork: No adaptations of this work book have yet been made, likely because Lia's struggle with anorexia would be highly difficult to realistically portray in a live-action film.
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* HardToAdaptWork: No adaptations of this work have yet been made, likely because Lia's struggle with anorexia would be highly difficult to realistically portray in a live-action film.
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* MemeticMutation: '''Must. Not. Eat.'''
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* MemeticMutation: '''Must. Not. Eat.''''''[[labelnote:Explanation]]Chapter 40 is nothing but this phrase repeated over and over, more than a hundred times. It's a MadnessMantra for Lia, as she's coming closer and closer to a complete breakdown. The striking visuals of the chapter made it one of the most memorable parts of the entire book.[[/labelnote]]
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* SignatureScene: [[spoiler:Lia shredding herself into a bloody mess right before sweet, innocent Emma stumbles across the scene and is scarred for life by the horror]] is generally considered this. [[FridgeHorror As disturbing as that is to think about.]]
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* NightmareFuel: Lia's mental breakdown is ''not'' pretty.
** Chapter 40 is nothing but the phrase "Must. Not. Eat." [[MadnessMantra repeated over and over, more than a hundred times]].
** As the breakdown gets worse, [[spoiler:Lia cuts herself so bad that she sends herself into a coma from blood loss. If that wasn't bed enough, [[MoralityPet her beloved stepsister Emma]] finds Lia like this, no doubt being scarred for life by what she saw]].
* SignatureScene: [[spoiler:Lia shredding herself into a bloody mess and sending herself into a coma right before sweet, innocent Emma stumbles across the scene and is scarred for life by thehorror]] is generally considered this.horror]]. [[FridgeHorror As disturbing as that is to think about.]]
** Chapter 40 is nothing but the phrase "Must. Not. Eat." [[MadnessMantra repeated over and over, more than a hundred times]].
** As the breakdown gets worse, [[spoiler:Lia cuts herself so bad that she sends herself into a coma from blood loss. If that wasn't bed enough, [[MoralityPet her beloved stepsister Emma]] finds Lia like this, no doubt being scarred for life by what she saw]].
* SignatureScene: [[spoiler:Lia shredding herself into a bloody mess and sending herself into a coma right before sweet, innocent Emma stumbles across the scene and is scarred for life by the
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* UnintentionallyUnsympathetic: Lia for some readers, given that she constantly lies to the people around her and resists their efforts to help her recover. Though this was possibly an IntendedAudienceReaction, given that the main conflict of the book is her struggle against her own self-destructive impulses.
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* UnintentionallyUnsympathetic: Lia for some readers, given that she constantly lies to the people around her and resists their efforts to help her recover. Though this was possibly an IntendedAudienceReaction, given that the main conflict of the book is her struggle against her own self-destructive impulses. It is notable that several other characters, most notably her parents and stepmother, [[WhatTheHellHero openly call her out for her lying.]]
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* SignatureScene: [[spoiler:Lia shredding herself into a bloody mess right before sweet, innocent Emma stumbles across the scene and is scarred for life by the horror]] is generally considered this. [[FridgeHorror As disturbing as that is to think about.]]
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* SignatureScene: [[spoiler:Lia shredding herself into a bloody mess right before sweet, innocent Emma stumbles across the scene and is scarred for life by the horror]] is generally considered this. [[FridgeHorror As disturbing as that is to think about.]]]]
* UnintentionallyUnsympathetic: Lia for some readers, given that she constantly lies to the people around her and resists their efforts to help her recover. Though this was possibly an IntendedAudienceReaction, given that the main conflict of the book is her struggle against her own self-destructive impulses.
* UnintentionallyUnsympathetic: Lia for some readers, given that she constantly lies to the people around her and resists their efforts to help her recover. Though this was possibly an IntendedAudienceReaction, given that the main conflict of the book is her struggle against her own self-destructive impulses.
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* ItWasHisSled: Cassie's exact cause of death is a mystery to Lia for much of the book, but is so representative of the book's themes that it's mentioned casually in many synopses of the novel.
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* AlternateCharacterInterpretation: Cassie was the book's real villain. She introduced Lia to the obsession that would destroy her body and ruin her adolescence, then blamed Lia for being the bad influence when Cassie herself slipped up enough to draw her parents' concern. Her very last words for Lia are far more haunting, and far more indicative of how much of a PoisonousFriend she was, than any of the things Lia's subconscious had spoken through the "ghost" Cassie's mouth.
* AngstAversion: Lia is a very dark and depressing heroine and her struggle gets a ''lot'' worse before it gets better.
* BaseBreakingCharacter: Lia herself. Some find her a fantastic and complex character whose descent into self-destruction is clearly justified by her mental state, the struggle with anorexia and self-harm that's defined her adolescence, and the bombshell dropped on her at the start of the novel. Others find her a whiny, unsympathetic rich kid who created most of her own problems.
* CrossesTheLineTwice: Elijah [[spoiler:bailing on a mentally unstable Lia and leaving her alone in the same hotel Cassie killed herself? Dark, even though his intentions were good.]] Elijah [[spoiler:casually mentioning that he'd stolen the cash she'd withdrawn for their great escape on his way out, save $20 for her cab fare?]] A little bit amusing. Even Lia doesn't seem to hold it against him.
* DracoInLeatherPants: Lia is very popular in some pro-anorexia circles. Not the Lia who [[spoiler:realises how much she wants to live, gets better at the end, and begins the healing process]], but the one who masterfully fools her way through rapid, unhealthy weight loss, meticulously controls her calorie intake to minimalise weight gain, and resourcefully tricks her family into thinking she's in recovery by tampering with the scales and inflating herself before weighing.
* JerkassWoobie: Cassie has shades of this. She died alone, messily, and in considerable pain, futilely reaching out in her last hours to a friend she'd abandoned and blamed all her problems on. Lia and Elijah might also qualify.
* MemeticMutation: '''Must. Not. Eat.'''
* MisaimedFandom: A major one. Some pro-anorexia circles consider this book their bible, and glamorise Lia's struggle while conveniently leaving out the physical and emotional suffering this condition has brought her.
* NauseaFuel: Doctor Marrigan's report on Cassie's death is nothing short of revolting. And [[TruthInTelevision entirely realistic]].
* SignatureScene: [[spoiler:Lia shredding herself into a bloody mess right before sweet, innocent Emma stumbles across the scene and is scarred for life by the horror]] is generally considered this. [[FridgeHorror As disturbing as that is to think about.]]
* AngstAversion: Lia is a very dark and depressing heroine and her struggle gets a ''lot'' worse before it gets better.
* BaseBreakingCharacter: Lia herself. Some find her a fantastic and complex character whose descent into self-destruction is clearly justified by her mental state, the struggle with anorexia and self-harm that's defined her adolescence, and the bombshell dropped on her at the start of the novel. Others find her a whiny, unsympathetic rich kid who created most of her own problems.
* CrossesTheLineTwice: Elijah [[spoiler:bailing on a mentally unstable Lia and leaving her alone in the same hotel Cassie killed herself? Dark, even though his intentions were good.]] Elijah [[spoiler:casually mentioning that he'd stolen the cash she'd withdrawn for their great escape on his way out, save $20 for her cab fare?]] A little bit amusing. Even Lia doesn't seem to hold it against him.
* DracoInLeatherPants: Lia is very popular in some pro-anorexia circles. Not the Lia who [[spoiler:realises how much she wants to live, gets better at the end, and begins the healing process]], but the one who masterfully fools her way through rapid, unhealthy weight loss, meticulously controls her calorie intake to minimalise weight gain, and resourcefully tricks her family into thinking she's in recovery by tampering with the scales and inflating herself before weighing.
* JerkassWoobie: Cassie has shades of this. She died alone, messily, and in considerable pain, futilely reaching out in her last hours to a friend she'd abandoned and blamed all her problems on. Lia and Elijah might also qualify.
* MemeticMutation: '''Must. Not. Eat.'''
* MisaimedFandom: A major one. Some pro-anorexia circles consider this book their bible, and glamorise Lia's struggle while conveniently leaving out the physical and emotional suffering this condition has brought her.
* NauseaFuel: Doctor Marrigan's report on Cassie's death is nothing short of revolting. And [[TruthInTelevision entirely realistic]].
* SignatureScene: [[spoiler:Lia shredding herself into a bloody mess right before sweet, innocent Emma stumbles across the scene and is scarred for life by the horror]] is generally considered this. [[FridgeHorror As disturbing as that is to think about.]]
