Abysmal. While I could relate to some of her experiences, this book would've been more appropriately titled "Abused Girl: A True Story."
I believe most of her issues come from verbal and physical abuse in her childhood, not just from being overweight. This memoir is dark and peppered with problems that go far deeper than the physical and emotional issues that stem from obesity alone. Really, except for a few years in school, she was not morbidly obese, just overweight, seriously abused, and depressed (rightfully so). Her mother and grandmother, smacking her around and calling her fat and ugly didn't help, I'm sure.