By the time James Frey enters a drug and alcohol treatment facility, he has so thoroughly ravaged his body that the doctors are shocked he is still alive. Inside the clinic, he is surrounded by patients as troubled as he: a judge, a mobster, a former world-champion boxer, and a fragile former prostitute. To James, their friendship and advice seem stronger and truer than the clinic's droning dogma of How to Recover.

James refuses to consider himself a victim of anything but his own bad decisions. He insists on accepting sole accountability for the person he has been and the person he may become—which he feels runs counter to his counselor's recipes for recovery. He must fight to survive on his own terms, for reasons close to his own heart. And he must battle the ever-tempting chemical trip to oblivion.

An uncommon accounting of a life destroyed and reconstructed, and a provocative alternative understanding of the nature of addiction and the meaning of recovery, A Million Little Pieces marks the debut of a bold and talented literary voice.