High-school junior Janie has been admitted to a psychiatric hospital for treatment of her bulimia. How she came to be sent there is gradually revealed in conversations, journal entries and her first-person, self-focused narration, in Littman’s second effort (Confessions of a Closet Catholic, 2006). Janie shares group therapy with a motley crew of others with eating disorders, mostly teens and including two boys, one of whom is gay, the other a superficial jock. The patients group themselves according to their disorders, with the bulimics depicted as having little understanding of the anorexics. Though eating disorders are never made light of, neither do they become the entire focus, so that even when one of the anorexic girls dies, the impact is minimized. Janie recovers with remarkable speed, though the outlook for some of the other superficially sketched characters appears less promising. An afterword includes a variety of websites and books for information and treatment options. An average teen-angst novel with an underlying but not heavy-handed message, this may start a few conversations. (Fiction. 11 & up)