Foreword Reviews

Starred Review:

Quite Mad

An American Pharma Memoir

Quite Mad, Sarah Fawn Montgomery’s mental illness memoir, is nothing short of mesmerizing—an ode to her years of struggling with anxiety, OCD, and PTSD, all of which she eventually accepted as a core part of her being.

The book chronicles Montgomery’s lifelong battle with crippling anxiety, itself responsible for a litany of symptoms and difficulties. After years of navigating various medications and their horrible side effects, including hair loss and depression, Montgomery finally found a regimen that helps her function.

The book maintains an indictment, of sorts, of the American pharmaceutical industry, as well as an exploration of the gender-biased ways in which people talk about mental illness. It also includes a fascinating history of America’s responses to mental illness, from the earliest psychotropic drug to lobotomies to the “rest cure.”

Straightforward and unapologetic, Montgomery recalls her dysfunctional upbringing. Her parents adopted many special needs children, and had no time for their biological children; when she was diagnosed with anxiety, her father did not believe it. She also had to grapple with trauma from violence.

Later, Montgomery’s incredibly supportive husband also struggled with mental health. She was repeatedly rebuffed by doctors, who, she says, tend to overprescribe medications. She lays bare misconceptions about mental illness, and unearths the pharmaceutical industry’s tendency to underreport harmful side effects.

Nevertheless, the book contains quiet triumphs and self-discovery, shining with unyielding grace and humor. Montgomery’s writing is eloquent, making no attempt to mask her pain. She cites medical studies but also keeps things personal; the result is a stellar work of literary journalism.

Reviewed by Hilary Daninhirsch

Disclosure: This article is not an endorsement, but a review. The author of this book provided free copies of the book to have their book reviewed by a professional reviewer. No fee was paid by the author for this review. Foreword Reviews only recommends books that we love. Foreword Magazine, Inc. is disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255.

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