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The novel explores the pressures of high school through the lens of Thyme Gilcrest, a top student who believes she has ADHD and resorts to borrowing Ritalin to maintain her academic performance. As she begins trading medications with classmates, the story delves into themes of addiction, mental health, and the lengths teens will go to in order to succeed. This thought-provoking narrative sheds light on the growing epidemic of prescription drug use among adolescents.