In Hopkin's sequel, she introduces readers to the
need for perfection that some teenagers face, which leads them to feed the  IMPULSE. Cara, Conner's twin sister, has her entire life planned for her, and  everything seems to be falling into place until she realizes a part of herself
that no longer wishes to stay hidden. Sean, Cara's boyfriend, has a plan, too:  earn a baseball scholarship to Stanford and make Cara love him. But, what  happens when half of the equation refuses to play the game? Then, there is  Kendra. Beautiful, ambitious Kendra, who is willing to sell her life for a  modeling career. As her stock begins to soar, she wonders if the cost will prove deadly. And, finally, Andre is a young man who must decide if his dreams are  worth having, or if they're simply fantasies keeping him from reality. 

The novel begins from Cara's perspective right after Conner attempts  suicide and is sent to Aspen Springs. Although he isn't at the center of the  novel, he is the glue that holds a lot of it together. For instance, Kendra is  in love with him, Cara is distraught about his attempted suicide, Sean was his  teammate, and Andre dates Kendra's sister, who knows all four main characters.  Hopkins does a good job of weaving in and out of Conner's story to flow into  their personal demons, constantly tying them together. Even though I enjoyed  this book, I felt like it became repetitive in several places. I know that the  goal was to present certain events from different perspectives, which I liked; however, I'm referring to the fact that each character of the story seemed to  repeat what they said and did in the previous section. For instance, every time  Sean surfaced, I knew he was going to whine about Cara and baseball - nothing  new. When it was Andre's turn, I knew that Jenna (Kendra's sister, his  girlfriend) and he would go on a date, and she would ruin it by acting  insensitive; then, he would apologize and tell her how much he loved her. Kendra  was going to count calories and not eat; Cara was going to question her entire  life. For me, I would have liked more action and interaction so that the story  didn't become dull. Hopkins did throw in a couple of twists towards the end,  which really helped the novel end powerfully. I just wish that more of those  events would have been woven throughout the entire novel.

This novel could be stand-alone; however, the ending of the first book will be spoiled.