3.5 stars, rounding up to four because I'm torn. It is so real, so gritty, and so hard that sometimes you want to turn it away. There were times where I wanted to put it down and never pick it up again. It was a lot like a bad relationship in the way that is often tiring and tough to get through, but the bits of beauty that peek in are enough to make you hold on longer than you maybe even want to. The book itself almost seems as self-destructive as the main character. Tierce is bold and honest and frank and not afraid to take you all the way there. Her writing never shies away. Still wrestling with this one.