Rating chose because it was short, focused, vividly written, easy to follow sufficient characters, meaningful, organized.  Then, on the other hand, it left me wondering what was the cause of both illness, how others were affected by the "shadows"  or the "pain".  Screaming is quite powerful, when you can't control it. Understandably, no one would understand why, so one must control to keep from being considered "crazy"! How often do you change behavior to effect a better result?