Content Warning: The source material and this guide include references to alcohol and drug use, as well as sexual, physical, verbal, and emotional abuse, including the sexual abuse of minors by adults. The book references PTSD and ADHD. Mentions of suicide, possible attempted suicides, and self-harm and self-medication are also included.

Hilton has ADHD and she believes that this diagnosis explains a lot of her behavior and difficulties. It also explains many of her strengths. She believes that ADHD held her back in some ways because it was not fully understood when she was younger, but she also believes that it can be an advantage in life when it is understood and dealt with properly. This is a theme that is consistently pulled through the entire memoir, both in the content itself and in her particular way of relaying the content.

As a child, no one really understood Hilton’s ADHD. Her brain constantly sought out stimulation, and the way she found this stimulation was through partying. She did not drink or use drugs when she was younger, but she would frequently sneak out of her home to go to clubs so she could listen to the music and be stimulated by the lights.