How do you know if you're on the verge of a nervous breakdown? For seventeen-year-old Stacy Black, it all begins with the smashing of a window. After putting her fist through the glass, she checks into a mental hospital. Stacy hates it there but despite herself slowly realizes she has to face the reasons for her depression to stop from self-destructing. Based on the author's experiences, How I Made it to Eighteen is a frank portrait of what it's like to struggle with self-esteem, body image issues, drug addiction, and anxiety.