Hardhitting, brutally honest and raw.  The writing style is very unique, blunt, rapid fire and abrupt.  It imitates both Jennette's speaking style and difficult subject matter but can make you feel that there is more that could have been said.  This seems purposeful and gives the reader a constant feeling of anxiety and puzzlement that seems to reflect the majority of Jennette's life.  This covers some of the hardest and most secretive parts of Jennette's life but does it in a way that is both self-aware and factual.  It is also unique in its reflective nature, on what is commented on and what is not.  As you move through the book, there are events that you can tell Jennette didn't understand the abnormality when they were happening but did later, but she doesn't really comment on all of them, but leaves it to the reader to muse on their own thoughts and feelings.  In other passages the events where she acknowledges either in the moment or later that they were uncomfortable, weird, abusive, hard add a weight and growth to the reflection.  Please note while this is sarcastically funny and dry in its delivery this is a trauma story and you need to be in the right headspace to read this.