Saylor Grayson makes herself sick. Literally.

She ate her first needle when she was seven. Now, at nineteen, she’s been kicked out of college for poisoning herself with laxatives. The shrinks call it Munchausen Syndrome. All Saylor knows is that when she’s ill, her normally distant mother pays attention and the doctors and nurses make her feel special.

Then she meets Drew Dean, the leader of a local support group for those with terminal diseases. When he mistakes her for a new member, Saylor knows she should correct him. But she can’t bring herself to, not after she’s welcomed into a new circle of friends. Friends who, like Drew, all have illnesses ready to claim their independence or their lives.

For the first time, Saylor finds out what it feels like to be in love, to have friends who genuinely care about her. But secrets have a way of revealing themselves. What will happen when Saylor’s is out?