Intensely self-conscious about his severe acne, 10th grader Kevin is pleased to be prescribed Accutane, despite its many side-effects, and things definitely look up when he connects with Alex, a girl he meets at his regular blood tests for the drug. While he invests this relationship with a weight that it can’t really bear, he retreats from his former best friends and family and his life starts to spiral downwards. He invests his energy in a slew of creative projects, but they are more about impressing other people than expressing himself, and they all fizzle out.
Debut author Burns imbues his first person narrative with the authentic solipsism of a teenager: Kevin observes and judges his friends, family and classmates with little empathy and without really listening to them, particularly Alex. And so much of what Kevin is thinking and feeling about himself, doesn’t get shared outside his own head and his isolation increases. Like many teens he snarkily views other people only through his own lens, claiming he doesn’t care about friendships, though to be fair to him, the other teens (all white from the suburbs) do seem to him (and me) to be remarkably well-adjusted.
The author does a fine job of chronicling Kevin’s descent into a vicious circle of hopelessness, and it is never clear (to the reader or Kevin) if his depression is caused by the Accutane or is genetic or if it’s just what a sensitive 10th grade boy experiences. Ultimately, though the Accutance does help, it is Kevin himself who has a Judy Blume-inspired epiphany (nicely done!) about his own role in his social isolation. For me, this came a bit too abruptly and a bit too late in the novel and felt rather unbalanced against the amount of time Kevin has spent in despair.
Though only a few teens suffer from such serious skin conditions, many will be able to relate to Kevin’s isolation, withdrawal, and desperate thoughts. A good choice for readers who like dark and some light, but not till the end.
Thanks to Candlewick for the ARC.