Abercoster's Institute for Troubled Youth has been October Grimme's home for three months. Why? Because everyone is convinced that she developed a psychological problem after watching her Aunt and Uncle burn to death in their home. That couldn't be farther from the truth. There's something more to the dark voices that October hears, that even she can't figure out yet. But can she find out what she really is when the only people who believe in her are Darren; the new therapist, and Parish; the badass new kid who may, or may not have a multiple personality disorder? One thing's for sure, October's secret may drive her to insanity and kill everyone she loves if she doesn't get help soon. The clock is ticking. Can she save herself?

Nowhere is safe. After their escape from Abercoster's Institute for Troubled Youth, October Grimmes and Parish Feltman are now being hunted by every person in the state. Together, the teens must stay off the radar to ensure that they aren't thrown back into the clutches of the vindictive Dr. Larkson. But when the voices that haunt them both pull new tricks from under their sleeves, October and Parish soon discover that the threat of permanent institutionalization might be the least of their worries. With the voices becoming more and more powerful with each passing second, will October and Parish unravel the mystery behind their bizarre connection before it's too late? Or are they doomed to lives in padded rooms?