The story masterfully explores how childhood innocence can become a conduit for darkness. Through Teddy's increasingly disturbing artwork, the narrative challenges our understanding of children's perception of reality and their potential vulnerability to supernatural influences, creating a powerful commentary on the fragility of innocence.

Mallory's journey from addiction to stability forms a crucial backbone of the narrative. Her determination to maintain sobriety while facing inexplicable events demonstrates how personal demons can either cripple or empower us when confronting external threats, offering a nuanced exploration of rehabilitation and second chances.

The novel delves deep into the unreliability of perception, particularly through the lens of someone with a complicated past. The constant tension between rational explanation and supernatural occurrence forces readers to question their own understanding of truth, reality, and the power of belief.