Crippling anxiety in a writer’s path
Two years ago, novelist John Green was unable to control his thoughts. His mind played relentlessly over the same fears and anxieties. At times, he couldn’t focus enough to read a menu or follow the plot of a television show, much less write a book.
It was a terrifying feeling, but a familiar one. Green, the author of the best-selling novel “The Fault in Our Stars,” has struggled with severe anxiety and obsessive-compulsive disorder for about as long as he can remember. He keeps it in check with medication and therapy, but every once in awhile, it consumes him.
“I couldn’t escape the spiral of my thoughts, and I felt like they were coming from the outside,” Green said in an interview.
When he recovered after a few months, he started writing “Turtles All the Way Down,” a wrenching and revelatory novel that provides a window into what it’s like to live in constant fear of your own mind.
“Coming out of that, it was difficult to write about anything else,” he said. “The topic
demanded itself.”
“Turtles All the Way Down,” published Tuesday, is Green’s most personal book yet. Its narrator, Aza Holmes, is a 16-year-old girl in Indianapolis who wrestles with anxiety and obsessive thought spirals. Aza has normal teenage preoccupations and struggles to navigate the rites of adolescence: dating, fretting about college, calming her overbearing mother, appeasing her demanding best friend.
But she is also frequently overcome by extreme dread. She’s certain that she’s contracted an intestinal bacteria that can be fatal. She worries that a cut on her finger, which she presses on uncontrollably, will become infected and kill her. She starts drinking hand sanitizer. She often wonders if she is fictional: If she can’t direct her own thoughts, who is really in control?
“Turtles All the Way Down” is an emotionally fraught project for Green, whose young-adult novels are beloved for their quirky humor and sharp, sensitive teenage protagonists. His books have more than 50 million copies in print worldwide; two have been adapted into films. Green, 40, who grew up in Orlando, Fla., and Birmingham, Ala., and now lives in Indianapolis with his wife, Sarah Urist Green, and their two children, Henry, 7, and Alice, 4, is one of the publishing industry’s biggest stars. Over the past decade, he and his brother Hank have built an online video business with 16 educational shows that have collectively drawn more than 2 billion views on YouTube.
Green’s onscreen persona for YouTube shows like “Crash Course” is ceaselessly energetic and positive. But he has wrestled with weighty subjects in his books — his young characters battle illness and mortality, depression and bullying — and has occasionally addressed his own mental health issues. In a video posted this summer, he discussed how difficult it is to talk about his experience of obsessive-compulsive disorder, in part because language so often fails to capture abstract feelings.
With “Turtles All the Way Down,” Green tried to bridge the language barrier by bringing readers inside Aza’s consciousness, subjecting them to her anguished obsessions. Now, with the book’s release, he’s speaking to fans and interviewers about something deeply painful and personal.
“I want to talk about it and not feel any embarrassment or shame,” he said, “because I think it’s important for people to hear from adults who have good fulfilling lives and manage chronic mental illness as part of those good fulfilling lives.”
Green was about 6 years old when he first became aware of his obsessive thought patterns. He was often afraid that his food was contaminated and would only eat certain foods at particular times of day.
As he got older, he was able to keep his anxiety in check with the right mix of medication and cognitive behavioral therapy. But every once in awhile, uncontrollable thoughts can overwhelm him.
It happened once when he was 24, living in Chicago and working as a book reviewer for Booklist. He was so depressed he couldn’t eat, so he drank a couple of 2-liter bottles of Sprite a day. Sometimes he couldn’t get up from his kitchen floor, where he lay staring at the bubbles in the soda bottle. He couldn’t read the books he was supposed to review because he couldn’t parse the words on the page.
He went to stay with his parents, saw a psychiatrist and found the right medication. He returned to Chicago, where he began writing what would become his debut novel, “Looking for Alaska,” a semiautobiographical novel about a boarding-school student who is bullied. He sold it to Dutton for a tiny advance and went on to publish several more acclaimed youngadult novels, including “Paper Towns” and the mega-selling “The Fault in Our Stars,” the story of two teenagers with cancer who fall in love.
In 2015, Green again suffered a severe onset of anxiety. It had been three years since he published “The Fault in Our Stars,” which became a global best-seller, with more than 23 million copies in print worldwide, and was adapted into a feature film. Following up a success on that scale felt impossible. Green started and abandoned several novels. He worried he might never write another book.
Then, hoping to jumpstart his creativity, he went off his medication. He plummeted. “I can’t think straight — I can only think in swirls and scribbles,” he wrote about the experience.
When he recovered in late 2015, he started writing the new novel, and finished a draft. He spent another year revising it with the help of his longtime editor, Julie Strauss-Gabel, who called the novel an “unbelievable act of translation” that gives readers a glimpse of what it’s like to suffer from mental illness. “He has worked really hard as a human being to figure that out,” Strauss-Gabel said.
In the book’s acknowledgments, Green thanks his doctors and notes how fortunate he is to have a supportive family and mental health care that many don’t have access to.
“It’s not a mountain that you climb or a hurdle that you jump; it’s something that you live with in an ongoing way,” he said. “People want that narrative of illness being in the past tense. But a lot of the time, it isn’t.”