This book tackles some very tough topics in very realistic and accurate ways. Main character Callie has been placed into a residential treatment center, shortly after her family discovers that Callie had begun to use self-harm to cope with many issues. The stress of being in this facility, as well as familial and mental stress, leads Callie to silence. Acting on selective mutism, Callie chooses to stop talking. Many people try, and yet fail, to help her open up and speak. Through the book, from memories and dialogues that run through Callie's brain, we discover that Callie has an extremely stressful home life that has become detrimental to her mental health. This book speaks on the reality of mental health facilities in America, as well as the type of home life that many live and suffer through silently. This story faces the reality of self-harm and mental illnesses. These topics are very uncomfortable for many, and almost taboo, but "Cut" breaks through that and breaks down the walls of real-life issues, and progress through mental health issues.