Although she does not intend to, Lia heavily impacts her family, both biological and step through her personal actions. One of the first examples happens somewhat prior to the book, when Lia and Cassie were still friends. Due to Lia missing meals and forcing herself to puke she unfortunately passed out, causing Cassie and herself who were in the car at the time to crash. This started the chain of events that would lead to Cassie ending their friendship and more importantly it led to the discovery of Lia’s anorexia. This resulted in her family sending her to a rehabilitation center for the eating disorder. As a result, the family became more distrusting of Lia as well as their close eye on her eating habits. In her reaction to them Lia became