I can’t explain it but I think this is one of those books you’ll only like if you can relate to its very specific and personal subject matter. Histrionic personality and dysthymia aren’t spoken about a lot when we talk about personality disorders and the different ways depression can manifest so I appreciated this POV. 
I can’t say much about the therapist’s responses but I do wonder about them (but at least she penned a disclaimer at the end with regards to her management style and choices). Also, I did not like the essays(?) at the end and felt they were unnecessary and out of place.