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Simone, a troubled white middle class teacher, flees from the outpatient treatment program to which she was referred because the other patients in the inner-city program are mostly uneducated, severely depressed, and/or psychotic. Simone is forced to return to the program because "Oakhell" is the only facility she can afford. There she meets Satch, a streetwise black woman who scoffs at her denial and cheerful demeanor. In the weeks that follow, Simone and Satch are thrown together both inside and outside of the hospital. Their tumultuous relationship becomes crucial to both women’s quests to uncover the truths that propel them toward self-destruction before they take actions from which there can be no recovery.

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