I'm always filled with delight when I see you've posted a book review. Thank you, this sounds fascinating.

Also, it deals with mental illness in a way that’s sometimes realistic and sometimes fantastical/metaphoric and sometimes both. I’m happy to discuss any of that or anything else about the book in comments

Please tell me it doesn't do the appalling thing where you have to stop taking the evil zombiefying psych meds in order to access your psychic powers/perceive magic/whatever.

I would hope not, but I'm grumpily paranoid about that one.