What do you think Sarah finds so frightening about acknowledging and accepting her clairvoyance?

Miriam’s spirit offers Sarah support, encouragement, and at times direction, though she doesn’t tell Sarah what to do. In what ways do you think Miriam’s spirit is helpful?

Sarah says she “fell apart” after Miriam’s murder and moved to Maine to be closer to Louise, leaving behind a city and her legal career. Do you think those were good choices—and why?

Can you identify any of Sarah’s behaviors that seem to be the consequence of trauma?

Post-divorce Ryan and Sarah have an on-again/off-again love affair. Why do you think it’s difficult for them to let go of each other?

Certain chapters focus on Sarah’s therapy sessions and the use of both clinical hypnosis and EMDR. Have you ever heard of or experienced those interventions—and if so what do you think about them?

How do Sarah’s friends come through for her?

How are Sarah’s friendships tested?

What characters do you particularly like or dislike—and why?

Mark struggles with addiction and recovery. What aspects of his struggles seem realistic to you?

What qualities do you think draw Sarah to Billy and draw Billy to Sarah?

A number of characters in the story are keeping secrets. How does that affect their relationships?

Constant Caring Managed Care decides whether Sarah and Louise’s clients will be reimbursed for therapy sessions. Have you ever had medical claims denied, and if so, how did you feel about that, and what did you do?

If you suspected the identity of the murderer before the reveal, what clues tipped you off?