Brilliant insight: ‘More or Less Maddy’ by Lisa Genova
I’ve read two previous novels by American nueroscientist and author Lisa Genova, and loved them both. Still Alice (made into a feature film) and Left Neglected offered fascinating insights into early onset dementia and a brain injury known as Left Neglect, respectively. More or Less Maddy likewise tells a very human story behind a medical diagnosis that devastates individuals and their families.
When bipolar disorder strikes Maddy, a young college student from a comfortable middle class family in Connecticut, she is already struggling with a sense of not fitting in. While her sister and brother seem to belong to the picture perfect world of their parents, happy with the already mapped-out life trajectories of education and career pathways, marriage, family and lovely home, Maddy dreams of a career as a stand-up comedian in New York.
Her first episode of mania at first feels wonderful. It rockets her out of the depression she has suffered for months, seemingly overnight. Suddenly she feels she can do anything, achieve anything. She doesn’t need to sleep, she writes brilliant comedy, and is sure she will soon be writing an authorised biography of Taylor Swift, her artistic heroine.
It all comes to a sticky end and that is when her distraught and frightened family step in and she is confronted with hospital, therapy, doctors and medication. She is fortunate to be connected with a knowledgable and empathic doctor who skillfully guides both Maddy and her troubled family on this new and frightening journey.
But there are plenty of pitfalls, not least of which is the diagnosis itself. Maddy’s struggles with the lifelong nature of her condition, and the burden of the stigma it carries, are brilliantly and sensitively portrayed in the novel; as are those of her family, who only want to keep her safe.
How to, or indeed whether to tell friends, old and new, of her condition, is a preoccupation. As is coping with the side effects of the various new drugs she must take. Keeping to a pretty strict lifestyle regimen: no late nights, no illicit drugs or alcohol, eating a healthy diet, watching her mood like a hawk, keeping a mood journal…all rather tiresome for a ‘normal’ twenty year-old.
But of course that’s just it. Once she has heard that word – bipolar – Maddy can never feel normal again.
I cared for Maddy a great deal, and could not wait to return to her story each time I had a chance to pick up the book.
The author does not pull punches. Maddy’s situation is not prettied up: there are relapses and mistakes, some that made me want to skip pages. But I read on because I knew this was all a necessary part of Maddy’s story. The ending is not tied up in a neat bow but there is hope for a better future for Maddy and those who love her.
If you see this book in your local bookstore or library, please do read it. It goes a long way to humanise this mental disorder that a suprising number of people live with. Lisa Genova has such a gift and I can’t wait to see what topic she might tackle next.
More or Less Maddy is published by Allen & Unwin in January 2025.
My thanks to the publishers and NetGalley for an early review copy.
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One Comment
shelleyrae @ Book'd Out
I’m a fan of this author too, thanks for sharing your thoughts