Book cover: Permanent Scars: I Knocked on the Door and Hell Reigned In, by Royce Scratch
Debut novel

Permanent Scars

I Knocked on the Door and Hell Reigned In

by Royce Scratch

Permanent Scars follows Oto, a teenager living with Bipolar 1 disorder, through hospitalization, diagnosis, family trauma, and the difficult return to ordinary life. It is a serious literary novel about illness, silence, survival, and the question of what life can still become.

A story from inside the diagnosis

The author writes from lived experience: 23 years of treatment, six psychiatric admissions, and a story drawn closely from real life.