Living with OCD consumes Ariel's daily existence, manifesting in ritualistic behaviors and unwanted violent thoughts that she desperately tries to control. The author masterfully portrays the intense internal struggle of someone grappling with mental illness while trying to maintain a façade of normalcy.

Ariel's journey involves challenging societal norms and parental expectations while embracing her authentic self. Her struggle with being "too big, too queer, too rough" highlights the universal experience of feeling different and the courage required to accept oneself despite external pressures.

Through her summer job at the carnival, Ariel discovers that genuine human connections can serve as a lifeline. These new relationships challenge her instinct to isolate herself and demonstrate that vulnerability, while scary, can lead to understanding and acceptance.