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75 pages 2 hours read

John Green

Turtles All the Way Down

Fiction | Novel | YA | Published in 2017

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Themes

Mental Illness

Aza’s anxiety and fear are her greatest challenges and the driving forces behind most of her actions. Her struggles are internal, demonstrating that mental illness is generally a solitary hardship. She insists that she is “fine,” because she believes this is how she is supposed to feel. Society does not easily accept the internal pain of others, and there are few outlets for people to express their pain. The expression of mental anguish makes others uncomfortable, so people are expected to hide their pain. This prevents Aza from genuinely healing and from getting the help she needs to deal with her mental illness.

Aza’s OCD sets her apart from the rest of the world, even her best friends. Often Aza feels a split sense of self, one part of her physically present in the room with others, but most of her self locked in an internal argument between her destructive and logical selves. Her obsession with bacterial infection occupies her thoughts to the point that she cannot actively attend to the conversations and actions of the people around her. Aza obsesses about the fact that the human body is composed of billions of bacteria cells. She fixates on the idea that so many of her cells are not truly “her.” She envisions bacteria multiplying and taking over her body, as well as controlling her thoughts and actions. This keeps Aza walled off from participating in the world.

For most of the story, Aza does not believe that the standard treatment for mental illness, therapy and medication, will help her. She refuses to take her medication regularly and does not fully participate in her therapy sessions, dismissing the exercises as “therapy-speak.” When Aza is hospitalized after a car accident, she becomes so consumed by her fear of bacteria that she drinks hand sanitizer. This is the turning point when Aza recognizes she must follow Dr. Singh’s prescription of time, therapy, and medication. This is a lesson that the author hopes to convey, that there is no sudden cure or “magic bullet” for treating mental illness.

Recovering from the worst of her symptoms related to her mental illness is not like recovering from a purely physical ailment, like healing her lacerated liver. Aza improves, then relapses and opens up her finger callus when anxious. “Future Aza” lets the reader know that Aza continues to struggle throughout her life with her mental illness and is even hospitalized twice. Yet the author shows that despite this, Aza goes on to have a fulfilling life, with a husband, children, and Daisy continuing as her best friend.

Friendship

Because of the effects of Aza’s condition, she cannot maintain a love relationship. She cannot be someone’s girlfriend, but she does have a solid friendship with Daisy that endures the difficulties of the events of the story.

Aza and Daisy have been best friends since their early childhood. Much of the strength of their friendship lies in how they complement each other. Daisy talks incessantly, while Aza is quiet. Daisy is optimistic to the point of being unrealistic at times, while Aza is overly pessimistic. Daisy helps Aza out of her fears of worst-case scenarios, while Aza brings Daisy back down to earth. When Aza’s inner struggles overwhelm her, when the dueling thoughts in her head pull her into a tightening spiral, sometimes Daisy’s voice can pull her back out and make her feel like herself again. This is the surest sign that Daisy is the friend that Aza needs to keep her from completely losing herself within herself.

While Daisy’s and Aza’s frustrations with each other finally boil over, it is a sign of the depth of their friendship that they can eventually see things from each other’s perspective and move on. Aza learns that friendship must be reciprocal and that she cannot take Daisy’s support for granted, while Daisy learns how much Aza means to her when Aza is injured in the car accident. The reader discovers from “Future Aza” that she and Daisy remain best friends into adulthood, another testament to the strength of their relationship.

Parents and Children/Family

Aza is fortunate to have a loving relationship with her mother, which she also takes for granted through much of the story. Aza often feels that her mother is overbearing and irritating, not unlike most teenagers. Aza’s mother has typical fears for her child’s well-being, but they are exacerbated by Aza’s mental illness. Aza’s mother also experiences excessive worry due to the loss of her husband. She fears also losing Aza, who has become the primary focus of her life. Aza refuses to discuss her feelings and inner turmoil with her mother, repeatedly saying that she is “fine.” Part of this is typical teenage reticence, but Aza is also afraid of letting her mother know the extent of her mental illness. She knows that her mother still carries so much pain over her husband’s death, so Aza does not want to add to that burden.

By the end of the story, Aza and her mother have learned to trust each other more. Aza asks her mother for help, admits the intensity of her illness, and tells her mother that she cannot be well for her mother’s sake. Aza’s mother accepts this and agrees to try to let Aza be her own person. There is a time when all parents must let go of their children and allow them to lead their own lives and deal with their own adversity.

In contrast, Davis has not had a supportive parent since his mother died. His father has never given Davis and Noah time, attention, love, and guidance, which leaves Davis feeling empty and adrift. There are adults in his life who care about him, like Lyle and Rosa, but both are hired help who cannot substitute for a loving parent. Davis feels this pain himself, but he is particularly sad for his little brother, who is lost without the care of their father. Noah needs someone to pick him up from school and help him with his homework, the daily kind of parental guidance that all children need. The final sign of Davis’s father’s failure as a father is his will, which leaves his fortune to the tuatara, not his children. Pickett saw the tuatara as his link to the future, not his children.

At the end of the story, Davis assumes a parental role in caring for Noah, though he is not yet an adult himself. Davis has suffered greatly, and he is determined that his brother will not continue to endure the same experience.

Reality and Identity

Aza questions her “realness” and reality in general. She feels detached from reality, like she is a fictional character in a story of someone else’s telling. This feeling is a disorder known as depersonalization and is characterized by the sense of observing one’s self from a distance. One’s feelings, thoughts, and actions seem to arise from outside one’s own body and mind. This is a terrifying sensation for Aza, that her thoughts and actions are beyond her own control. Aza’s compulsions are a way to control her reality, to bring order to the chaos in her mind.

Aza becomes upset with Daisy’s fictional portrayal of her, as Ayala. Aza is dismayed due to this confirmation of all the negative traits she believes that she possesses, but also because it feeds into her fears of not being real. Aza struggles with defining her identity, whether there is a “real” Aza deep down, regardless of her circumstances. Seeing herself portrayed in Daisy’s fan fiction makes Aza wonder if she is any more real than Ayala.

By the end of the story, Aza has begun to reconcile her “selves” as parts of a whole, which make up her identity and reality. She has begun to tame her inner fears, giving them less control over her thoughts and actions. Aza is not “cured,” and her future self attests that she will struggle throughout her life with her symptoms, but she feels more a part of the rest of the world.

Socioeconomic Status

Davis’s family is wealthy, which Davis feels has put a burden on his life. He questions if he has an identity separate from his wealth, as he wonders if people only want to be his friend because of his money. Davis’s wealth also causes Aza’s mother to prejudge him, thinking him entitled and careless with her daughter’s feelings. Davis does take a great deal for granted because of his family’s money, and he does not understand that wealth can buy many freedoms in life. Davis does not understand the concept of worrying about the cost of ordering a soda, let alone paying for college. For Davis, handing Aza $100,000 is the easy answer to the question of whether her affections are real, showing that he has learned that money can solve problems. Yet Davis’s wealth has not provided him with a happy life or parental support. At the end of the story, Davis and Noah choose closure and a chance for happier lives over continued wealth, by informing the police of their father’s potential death.

Aza and her mother are middle-class, though she believes she is poor. Aza also takes much for granted, such as the fact that her mother bought her braces and a laptop, and she inherited her father’s car. Her mother is around to help her with her homework because she is home in the evenings. Aza’s idea of her future identity is altered when Davis gives her the money, opening up the possibility of going away to a college she previously could not afford. Later Aza realizes that money will not buy her mental health and that she must still contend with her internal challenges.

Daisy’s family is in a lower economic class, so the money from Davis feels like a once-in-a-lifetime windfall. She immediately buys a car and a laptop, though the money was supposedly for college. Aza thinks this is careless and frivolous, which causes a rift between the friends. Daisy resents Aza’s judgement because she has never had the freedom to buy what Aza already has. At the end of the story, Daisy returns her car and her parents tell her that she must use the money for a college fund for both herself and her younger sister. Daisy thought that having money would make her feel like a different person, but it does not. 

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