She and her son Isaiah move in with Casey, and Mailhot gives birth to another son, whom she calls a Thunder Being. During the pregnancy, Mailhot begins an MFA and must go off her bipolar medication, which results in incredible emotional pain. Mailhot and Casey conceive a child in a pecan field during a particularly difficult period in their relationship. Despite the pain of her hospitalization and abandonment, Mailhot decides to continue her love affair with Casey-at first as a casual lover, and then monogamously.
Mailhot records her time in the hospital from the perspective of an Indian woman, whose experience isn’t represented by the rational Western medical system. The beginning of the book chronicles Mailhot’s love affair with a White man named Casey, who leaves her after she checks herself into a psychiatric hospital and is diagnosed with PTSD and bipolar disorder.
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