I'm a librarian who loves anime, manga, and reading a wide variety of genres.
This just gets right into not pulling any punches. Page 1 is the author's first sexual experience, with a woman from a lesbian escort agency. Now she's talking about the time when she cut and starved herself.
"Years later I read about a person who hurt herself. She said...
'I don't really understand the pain in my heart. It doesn't have any real form. But it's easy to understand the pain when it's my body that's being hurt. It calms me down.'
And I totally got it."