When a seemingly miraculous pregnancy following years battling infertility ends in a late miscarriage, Margo is devastated.  For a time, the unshakable yet false belief that she is pregnant again provides relief from all-consuming grief. When her fantasy inevitably clashes with reality, Margo falls into a deep depression requiring admission to a psychiatric unit. Uncertain if the sometimes-chaotic environment there is helping or making her worse, Margo seizes an opportunity to flee. Alone on the city streets, new fantasies propel her to commit a crime with dangerous consequences for herself and others.
 
This stirring portrait by a prominent psychiatrist  of one woman’s psychological unraveling takes readers on a journey across the blurred boundaries between sanity and depression, madness and healing.