''Brain on Fire: My Month of Madness'' is a 2012
''New York Times'' best-selling autobiography
An autobiography, sometimes informally called an autobio, is a self-written account of one's own life.
It is a form of biography.
Definition
The word "autobiography" was first used deprecatingly by William Taylor in 1797 in the English peri ...
by ''
New York Post
The ''New York Post'' (''NY Post'') is a conservative daily tabloid newspaper published in New York City. The ''Post'' also operates NYPost.com, the celebrity gossip site PageSix.com, and the entertainment site Decider.com.
It was established ...
'' writer
Susannah Cahalan
Susannah Cahalan (born January 30, 1985) is an American journalist and author, known for writing the memoir ''Brain on Fire, Brain on Fire: My Month of Madness'', about her hospitalization with a rare auto-immune disease, anti-NMDA receptor enceph ...
. The book details Cahalan's struggle with a rare form of
encephalitis
Encephalitis is inflammation of the brain. The severity can be variable with symptoms including reduction or alteration in consciousness, headache, fever, confusion, a stiff neck, and vomiting. Complications may include seizures, hallucinations, ...
and her recovery. It was first published on November 13, 2012, through
Free Press in hardback, and was later reprinted in paperback by
Simon & Schuster
Simon & Schuster () is an American publishing company and a subsidiary of Paramount Global. It was founded in New York City on January 2, 1924 by Richard L. Simon and M. Lincoln Schuster. As of 2016, Simon & Schuster was the third largest publ ...
after the two companies merged.
Synopsis
The book narrates Cahalan's issues with
anti-NMDA receptor encephalitis
Anti-NMDA receptor encephalitis is a type of encephalitis, brain inflammation caused by antibodies. Early symptoms may include fever, headache, and feeling tired. This is then typically followed by psychosis which presents with delusions, false b ...
and the process by which she was diagnosed with this form of
encephalitis
Encephalitis is inflammation of the brain. The severity can be variable with symptoms including reduction or alteration in consciousness, headache, fever, confusion, a stiff neck, and vomiting. Complications may include seizures, hallucinations, ...
. She woke up in a hospital with no memory of the previous month's events, during which time she had violent episodes and delusions. Her eventual diagnosis was made more difficult by various physicians misdiagnosing her with several theories such as "partying too much" and
schizoaffective disorder
Schizoaffective disorder (SZA, SZD or SAD) is a mental disorder characterized by abnormal thought processes and an unstable mood. This diagnosis is made when the person has symptoms of both schizophrenia (usually psychosis) and a mood disorder: ...
.
Eventually several physicians, including Dr.
Souhel Najjar, began to suspect that Cahalan was suffering from an
autoimmune disease
An autoimmune disease is a condition arising from an abnormal immune response to a functioning body part. At least 80 types of autoimmune diseases have been identified, with some evidence suggesting that there may be more than 100 types. Nearly a ...
.
[ Najjar diagnosed Cahalan using a test that involved her drawing a clock, a test normally given to people suspected of having ]dementia
Dementia is a disorder which manifests as a set of related symptoms, which usually surfaces when the brain is damaged by injury or disease. The symptoms involve progressive impairments in memory, thinking, and behavior, which negatively affe ...
or Alzheimer's disease
Alzheimer's disease (AD) is a neurodegeneration, neurodegenerative disease that usually starts slowly and progressively worsens. It is the cause of 60–70% of cases of dementia. The most common early symptom is difficulty in short-term me ...
. Rather than drawing the clock face normally, the disease caused Cahalan to draw all the numbers 1 through 12 on the right face of the clock, because the right side of her brain, which regulates the left side of the body, was inflamed. Najjar used this to help diagnose Cahalan and start her road to recovery.
The book also covers Cahalan's life after her recovery, including her reactions to watching videotapes of her psychotic episodes while in the hospital. Cahalan also discusses her symptoms prior to her hospitalization, as she had previously been diagnosed by a psychiatrist with bipolar disorder
Bipolar disorder, previously known as manic depression, is a mental disorder characterized by periods of depression and periods of abnormally elevated mood that last from days to weeks each. If the elevated mood is severe or associated with ...
.[ While researching, she learned that the disease had been discovered just three years before she became ill. Her research indicated that in 2009, most people with the disease were either misdiagnosed or undiagnosed. Cahalan was fortunate to be correctly diagnosed because, according to Najjar's estimates, only 10 percent of people with the disease were properly diagnosed at that time. Since then, a better understanding of the disease and its symptoms has resulted in more frequent diagnosis and treatment.
]
Reception
Critical reception for ''Brain on Fire'' has been mostly positive. NPR
National Public Radio (NPR, stylized in all lowercase) is an American privately and state funded nonprofit media organization headquartered in Washington, D.C., with its NPR West headquarters in Culver City, California. It differs from other ...
commented that the author was "a naturally talented prose stylist" and that "she perfectly tempers her brutal honesty with compassion and something like vulnerability." ''The Washington Post
''The Washington Post'' (also known as the ''Post'' and, informally, ''WaPo'') is an American daily newspaper published in Washington, D.C. It is the most widely circulated newspaper within the Washington metropolitan area and has a large nati ...
'' praised Cahalan's researching abilities for the book, as they noted that she had to rely on information from others, including family members and medical documents.
Film adaptation
In May 2014, it was announced that the book was being adapted into a film of the same name, starring Chloë Grace Moretz
Chloë Grace Moretz (; born February 10, 1997) is an American actress. She is the recipient of various accolades, including four MTV Movie & TV Awards, two People's Choice Awards, two Saturn Awards, and two Young Artist Awards.
She began actin ...
and produced by Cahalan and Charlize Theron
Charlize Theron ( ; ; born 7 August 1975) is a South African and American actress and producer. One of the world's highest-paid actresses, she is the recipient of various accolades, including an Academy Award and a Golden Globe Award. In 20 ...
. The film was released on Netflix
Netflix, Inc. is an American subscription video on-demand over-the-top streaming service and production company based in Los Gatos, California. Founded in 1997 by Reed Hastings and Marc Randolph in Scotts Valley, California, it offers a fil ...
on June 22, 2018.[
]
References
External links
* {{official website, http://www.susannahcahalan.com/
2012 non-fiction books
Encephalitis
American autobiographies
Books about diseases
Medical books
Autobiographies adapted into films
Free Press (publisher) books