It’s been almost six years since YA uber-author John Green has published a new book (something we wrote about a while back). That’s almost  generation’s worth of his target audience – many teen readers will have been too young for his last book, The Fault in Our Stars, when it was published in 2012. The rocket-like success of that book (and subsequent movie) was both a blessing and a curse for Green: his books were being read by millions more people, but that success resulted in a period of crippling anxiety for the author. The expectations for his next book felt so overwhelming, that for a while he could not write at all.

Green has not made a secret of the fact that he’s wrestled with Anxiety and Obsessive-Compulsive Disorder most of his life, and what it’s like to live with mental illness is the overriding theme of Turtles All the Way Down. Aza Holmes, the narrator of the book, struggles mightily to control the obsessive thoughts that often consume her, which she calls “thought spirals” that grow more and more tightly coiled until she is driven to a compulsive behavior to quiet them.

The ostensible plot of the book is a mystery: the famous father of a childhood acquaintance has has skipped town to avoid legal troubles, and Aza’s BFF Daisy is convinced the two of them can figure out where he is and collect the $100,000 reward.  TATWD has all the John Green-isms we’ve come to expect: the quirky best friend, the seemingly impossible task, the sweet love story, and everyone’s got a poem or literature quote ready to go at a moment’s notice, (John Green characters are a bit more well-read and well-spoken than the general teen-aged public). But the real journey the reader is taken on is what it’s like to live in a hijacked mind.

Aza has a dread of germs. One of the first compulsions we witness is Aza forcing open a wound on her fingertip, so that she can clean and sanitize it before covering it up with one of her constant supply of band-aids, a ritual she performs so often that the wound never completely heals. Hand sanitizer is used combatively –  at one point she even starts drinking it.  Aza’s helplessness in the face of these thoughts and compulsions can be painful to read, and there’s no “all better now” resolution at the end – the prevailing takeaway is it’s ok not to be ok sometimes. Green has managed to paint a picture of mental illness that is more matter-of-fact than sensational, and the writing is evocative and mature. It’s a thoughtful novel that will appeal to adults as well as teens, and well worth the six-year wait.

Five stars.