I Know I'm Not A Cake is the brutal honesty about how life treated 17 year old Sarah Neal. Within these 169 pages, the author describes her life and the events that lead her to the Carolina Center for Behavioral Health. Separated into three parts, Neal goes in depth about her past, her time in the hospital, and what she's doing now to help her cope with her mental illnesses. This book contains graphic descriptions and language. Sarah Neal hopes that this book will be used by others as a resource to know that they are not alone, as she once felt.