Because it went from high/interesting to low/boring, I would give this book a 5/10. It was a serious and rather deep book due to the subject matter and really made me feel awful for the mother. It seemed no matter what she did the doctors twisted it into a negative behavior directed toward her sick daughter. Not necessarily a true happy ending book either. It you're not the type to ONLY read happy-go-lucky books and are interested in the psychology of Munchausen by Proxy syndrome then you would definitely enjoy this book. I enjoyed it!