Brain On Fire: My Month of Madness

Apr 20, 2025 9:55 AM

Author:Susannah Cahalan

Brain on Fire is the stunning debut from journalist and author Susannah Cahalan, recounting the real-life horror story of how a sudden and mysterious illness put her on descent into a madness for which there seemed to be no cure

'My first serious blackout marked the line between sanity and insanity. Though I would have moments of lucidity over the coming days and weeks, I would never again be the same person ...'

Susannah Cahalan was a happy, clever, healthy twenty-four-year old. Then one day she woke up in hospital, with no memory of what had happened or how she had got there. Within weeks, she would be transformed into someone unrecognizable, descending into a state of acute psychosis, undergoing rages and convulsions, hallucinating that her father had murdered his wife; that she could control time with her mind. Everything she had taken for granted about her life, and who she was, was wiped out.

This is Susannah's story of her terrifying descent into madness and the desperate hunt for a diagnosis, as, after dozens of tests and scans, baffled doctors concluded she should be confined in a psychiatric ward. It is also the story of how one brilliant man, Syria-born Dr Najar, finally proved - using a simple pen and paper - that Susannah's psychotic behaviour was caused by a rare autoimmune disease attacking her brain. His diagnosis of this little-known condition, thought to have been the real cause of devil-possessions through history, saved her life, and possibly the lives of many others. Cahalan takes readers inside this newly-discovered disease through the progress of her own harrowing journey, piecing it together using memories, journals, hospital videos and records. Written with passionate honesty and intelligence, Brain on Fire is a searingly personal yet universal book, which asks what happens when your identity is suddenly destroyed, and how you get it back.

'With eagle-eye precision and brutal honesty, Susannah Cahalan turns her journalistic gaze on herself as she bravely looks back on one of the most harrowing and unimaginable experiences one could ever face: the loss of mind, body and self ... a mesmerizing story', Mira Bartók, New York Times bestselling author of The Memory Palace

Susannah Cahalan is a reporter on the New York Post, and the recipient of the 2010 Silurian Award of Excellence in Journalism for Feature Writing. Her writing has also appeared in the New York Times, and is frequently picked up by the Daily Mail, Gawker, Gothamist, AOL and Yahoo among other news aggregrator sites.

Reviews

With eagle-eye precision and brutal honesty, Susannah Cahalan turns her journalistic gaze on herself as she bravely looks back on one of the most harrowing and unimaginable experiences one could ever face: the loss of mind, body and self ... a mesmerizing story

—— Mira Bartók, New York Times bestselling author of 'The Memory Palace'

Captivating ... Cahalan's prose carries a sharp, unsparing punch

—— Michael Greenberg , New York Times

This is a genial, optimistic book and a rather soothing read ... it provides an important and largely painless insight into a profound transformation in psychology

—— The Sunday Times

Walter Mischel is one of the most influential psychologists of the 20th century, and The Marshmallow Test will make him one of the most influential in this century, too.

—— Steven Pinker

A top five psychology title

—— Independent on Sunday

In our go-faster era, extreme impulsivity — from trolling to air rage — seems to be on the rise. So it is an apt moment for psychologist Walter Mischel to recap his much-cited “marshmallow test” ... Mischel takes us beyond
the experiment into deep research on “delay ability”, his formulation of “hot” and “cool” cognition, speculation on the role of genetics, and the implications of his work for public policy.

—— Nature

Your view of human nature will change profoundly as you read this brilliant book.

—— Daniel Kahneman, Author of 'Thinking, Fast and Slow'

Mischel has written a wonderful book, engaging, enlightening, and profound.

—— Daniel Goleman, author of 'Emotional Intelligence' and 'Focus'

This is an amazing, eye-opening, transformative, riveting book from one of the greatest psychologists of our time.

—— Carol S. Dweck, Professor of Psychology, Stanford University

Fast-paced and engaging

—— The Wall Street Journal

This book, a compendium of his life's research, is Mischel's attempt to demonstrate that self-control can be learned ... There are lessons that may prove useful to professionals [and] strategies one can employ to distract oneself from the temptation of instant gratification.

—— The Financial Times

Prof Mischel argues that individuals can be taught self-control with persistence and a number of practical techniques ... [and] such skills are increasingly valuable.

—— The Financial Times

A picaresque journey through the human psyche - one in which the detours are at least as fascinating as the destination.

—— Mail on Sunday

This book is best read as a memoir of gratification ... it is a fascinating read and a considerable achievement.

—— The Economist

Mischel's insights are fascinating and rewarding.

—— Sunday Telegraph

Rising stars of 2015: one to watch

—— Guardian

Using a series of fascinating case studies as a framework, Dr O’Sullivan skillfully weaves the historical understanding, and misunderstanding, of functional illness into a series of narratives that are moving and thought provoking.

—— Adam Staten , British Journal of General Practice

A sympathetic, insightful study of psychosomatic illness

—— Charlie Hegarty , Catholic Herald

An excellent study of psychosomatic disorders

—— Stuart Kelly , Scotland on Sunday

Fascinating foray into the subject of how mental factors affect our health.

—— Simon Shaw , Mail on Sunday

Her Book, shortlisted for the 2016 Wellcome prize, describes case histories…with precision and compassion.

—— Jane Shilling , Daily Mail

It’s not only a beautifully written book…it’s also a book to start a revolution in healthcare.

—— Helen Rumbelow , The Times

Humane and deeply sympathetic.

—— Jane Shilling , Daily Telegraph

Impressively vivid and sympathetic argument for the reality of the mind’s more harrowing inventions.

—— Brian Dillon , Irish Times

A compassionate, honest and compelling read.

—— Lady

She mixes an easily accessible vocabulary with complex medical terms, something which I found both enjoyable and informative… Ultimately I found this book quite fascinating… I would recommend this book, which contains some hard hitting and highly personal stories.

—— Independent Nurse

A great immersion in psychosomatic problems… If you want to get a head-on feeling for the clinical experience of psychosomatic patients, read this book.

—— Edward Shorter , British Medical Journal

[A] controversial but utterly compassionate memoir.

—— Damian Barr , Guardian

It is as addictive as a great box set makes you rethink some of your closest relationships and wonder about some of the people you know best; and above all, like all truly great book it is about love and compassion.

—— Sathnam Sanghera , The Times, Book of the Year

Epstein is too respectful of the complexity of his subject matter to leap to any grand conclusions. The book was conceived partially as a rebuttal to glib theorising, and it is all the more fascinating as a result

—— Ken Early , Irish Times

Fascinating from start to finish

—— Amanda Khouv , Women's Fitness

Epstein forces us to rethink the very nature of athleticism

—— GrrlScientist , Guardian

Looks at the science of extraordinary athletic performance.

—— Adam Whitehead , Daily Telegraph

Captivating… Dazzling and illuminating

—— Richard Moore , Guardian

Epstein is not afraid to follow science in “trekking deep into the bramble patches of sensitive topics like gender and race"

—— Choice

Captivating… In a particularly fascinating chapter, Epstein investigates an old theory that purports to explain why Jamaica produces so many Olympic sprinters

—— Christie Ashwanden , Scotsman

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