Essentially, this is a story about prevention. The author, a national correspondent for The New York Times, writes a well-documented book that integrates current research with a personal story of a troubled child, an inadequate school system, and the efforts of one family to assemble the resources needed to keep prodromal symptoms from becoming full-scale decompensation. The book ends on a high note, with drawings by Joseph and a clear acceptance of his sexual identity after salutary group and camp experiences with gay peers. But the therapeutic interventions and happy ending were effected by caring parents who found resources outside of the educational and mental health systems. Overall, this is a measured account of the damage schools can do, the constraints under which they operate, and the need for an alliance of parents, educators, mental health professionals, and concerned advocates to ensure optimal treatment resources for vulnerable youth in the fragile prodromal years.