Earth to Alis contains heavy subject matter. While this is ultimately a hopeful story that advocates for recovery, it is nonetheless told by an unreliable narrator affected by mental illness and doesn’t shy away from depicting difficult experiences. Please see below for a full list of sensitive content in this book:

• Graphic self-harm


• Physical and emotional child abuse and neglect

• Bullying, including homophobia/queerphobia and assault

• Panic attacks


• Dissociation (derealization/depersonalization)

• Disordered eating
(not related to body image)

• A scene depicting manual strangulation


• A scene depicting an epileptic seizure; discussions of epilepsy

• Blood, vomiting, and brief injury/medical detail

• Mentions of past suicidal ideation


• Mention of hypothetical violence against animals; references to off-page animal death

• Mention of past illness and death of a parent

• Underage drinking and smoking; references to off-page marijuana use

• Profanity and sexual references