Nerve Damage

by Annakeara Stinson

A riotous revenge novel about a woman’s quest to escape her stalker ex-boyfriend—by stalking him herself.

Clarice’s breakup with P.T. began the usual way—she discovered he was cheating. Then came the constant texts, the nonstop emails from burner accounts, hundreds of phone calls from dozens of different numbers. He showed up outside her house and her office. He sent her flowers and poems, and, perhaps most sinister of all, a link to the music video for Dido's “White Flag.” Relief only arrived when Clarice finally obtained a restraining order and one-way ticket from New York to L.A.

Just as the restraining order expires—and three years to the day since she left him—Clarice spots a man who looks suspiciously like P.T. at a nightclub. Could it be him? Her best friend thinks she’s imagining things. Her therapist wants her to focus on healing her inner child. Her mother is busy planning her wedding to her fourth husband. A psychic medium can only reveal that P.T.’s energy is too volatile to locate on the spiritual plane. As painful memories resurface, Clarice is convinced her ex has returned to ruin her life. . . But with scant evidence to prove it, she takes increasingly unhinged steps to uncover the truth, ultimately leading to a place where paranoia and reality begin to blur.

A profane and poignant debut novel, Nerve Damage is a different kind of survivor narrative, about how far one woman will go to wrest back control of her life in a world determined to send her spiraling.

Genres: Fiction, Literary Fiction, Contemporary, Thriller, Mental Health, Mystery, Mental Illness

240 pages, Hardcover

First published May 12, 2026

Reviews

[vicky ꨄ︎ · Rating 4 out of 5]

I fell in love with the concept of the book. She stalks her ex-boyfriend back. There’s an alternative switch between the present day Clarice and we see what the stalking had done to her and we slowly start to see how she becomes so cautions and starts stalking him back. Whereas in the past tense the story unravels on how her ex started stalking her and showing all the events leading to the present tense. I absolutely loved going back and forward in the timeline and it shows how obsessive he was with her and then to seeing on how she gets obsessive with him.

I do wish we got to see more stalking. Other than that this was a well executed story.


Thanks to NetGalley and the publisher for this arc in exchange for an honest review.









—————————————————————

𐙚⋆°. preread

Her ex boyfriend stalks her so she decides to stalk him back, like what sign me up. Also if this doesn’t get me out of my slump I’ll cry

[Stay Fetters · Rating 4 out of 5]

"So much of love is whatever horrible shit only the two of you know."

What happens when crazy meets someone even crazier?

Phew! This was f**king wild!

The thing that caught my eye was obviously the cover. Then the synopsis hit me. There was no way that I could turn my back on something like this and I'm glad that I didn't because this was insane in the best way possible.

What we have here is something I've never seen before. The stalked becomes the stalker. Let me tell you, this was one hell of a wild ride. I was glued to these pages and could not put this down. I was in disbelief as I kept reading. Maybe cringed a little bit. Clarice had me screaming obscenities as more of her story unfolded. Even after finishing, I sat there stunned. I may still be sitting here with wide-eyes thinking about this story.

'Nerve Damage' is a must read. I love a good unhinged woman and Clarice is just that. Her decent into becoming more and more unhinged as the story progressed was a masterpiece. I'm ready to read it again. Don't sleep on this book or Clarice will get you!

[Sam Hughes · Rating 4 out of 5]

DAMN.

I am so thankful to Annakeara Stinson, aaknopf books, and NetGalley for granting me advanced access to this spiraler of a book before it hits shelves on May 12, 2026.

Unfortunately, Clarice is living a hell so many of us have felt, utter delusion following the messy breakup and further harassment from her ex-lover turned stalker. After multiple restraining orders and protective rulings, she thinks she spies him at a concert venue across the country, thus sending her into a state of delusion that has her risking her life and the safety of those in her space to uncover the truth.

Stinson unveils the years of generational trauma Clarice underwent throughout her youth, leading her to the present day, where her expectations of love set a low bar. Sad but true, this is so real and felt by many, and I felt this was a very accurate description.

[Eve · Rating 4 out of 5]

My first e-arc :') many thanks to the publisher.

"So much of love is whatever horrible shit only the two of you know. You mistake that for loyalty, living through what you don’t want. Enduring is the work."

Whew, this one hit me where it hurts. If you have ever been abused, stalked, or harassed, this is going to feel so real.

What really struck me about this book is the nuances of the relationship between a man and the woman who fears him. Women are often raised to be afraid of men in a variety of ways, and those fears are rendered entirely legitimate over and over, literally driving some of us to madness.

I really recommend this, if anything for its dark humor, but also for its hard-hitting truths about relationships and the terror of a toxic ex.

[Ellen Ross · Rating 5 out of 5]

Unique, strange, and addicting - I couldn’t out this book down. Flipping the tables on an obsessive stalker ex, Clarice is an epic main character. It was fascinating to see her becoming more unhinged as the book goes on. I was becoming as paranoid as she was and really felt like I was inside her brain. This is a must read for women. I received an advance review copy for free, and I am leaving this review voluntarily.

[jason · Rating 4 out of 5]

“Nerve Damage” follows a woman named Clarice who has fled from New York to California to escape her obsessive, stalker ex-boyfriend. Shortly after the limits of the restraining order have lifted, Clarice is convinced that she spots her ex-boyfriend, P.T., at a bar. Falling down a rabbit hole of obsession, Clarice begins desperately trying to uncover if P.T. has truly followed her cross-country in order to find her. The ensuing story is what happens when the stalked becomes the stalker.

This was a really fun time! Clarice is well explored as a character, to the point of it becoming uncomfortable. But, ultimately, that’s what the novel is exploring: how our trauma and our lived experiences alter the trajectory of our lives. Clarice had an extremely turbulent and unstable upbringing, which allows the reader to empathize with her, while also understanding the lens through which Clarice views the world around her. Clarice’s obsessive tendencies, while unhealthy for her, are so addictive to read about, and made the novel extremely easy to binge. I’d compare this to “A Good Person” by Kirsten King, but I’d say Clarice is more likable as a narrator.

Based on the description and other early reviews, I was expecting this to be a bit more unhinged than it was. Not to say that Clarice’s behavior was sane, but I thought the narrative would lean more so into the absurd than it did. There were a lot of moments in the book that were like “laugh-out-loud” absurd, but I was expecting more of the “wacky-crazy-unhinged” kind of absurd, too. That didn’t diminish my enjoyment of the novel, I still had a great reading experience with it, but it didn’t entirely meet my expectations, in that sense.

Overall, still, this was 4 stars!

Thank you to Knopf and NetGalley for the advance eARC in exchange for an honest review!

[ER WW · Rating 5 out of 5]

This book is so good, covering hard topics (trauma, stalking, isolation) in a way that is somehow profound and funny, relatable and revelatory all at once. I felt like I knew the protagonist and cared about her right away, so that as she stumbles and makes mistakes and navigates her life and fear I was fully invested in understanding what led her to this place and how she would find her way out again. I laughed out loud (which rarely happens, even in books marked for humor) and also re-read passages to drink in the language and ideas. I was in a reading rut before I picked this up, struggling through a handful of well-written books tackling big concepts but that were hard to pick up and easy to put down. This was the opposite. I tore through this and had a hard time putting it down at night because I wanted so much to know what happened and spend time with these characters. Readable and exciting, different, fun and moving. What more can you ask for?

[Jamie Pfortsch · Rating 5 out of 5]

Thank you Netgalley and Knopf, Pantheon, Vintage, and Anchor for the ARC in exchange for an honest review!

"You don't realize how free you are just walking around living life until you aren't anymore, until you're always expecting something."

Annakeara Stinson's debut novel is bold, captivating, and at times darkly funny. What starts as a harrowing recount of obsessive harassment and stalking evolves into an unpredictable psychological journey as the main character confronts her past. The story is sharp, propulsive, and I didn't want it to end. I wish I had a million books like this one waiting on my shelf, and I hope Annakeara Stinson plans to write many more novels, because I will absolutely be reading them.

[Mo Reads · Rating 4 out of 5]

Rtc.

[evie · Rating 4 out of 5]

review to come !!

[disco · Rating 5 out of 5]

When prey becomes predator. <3

[Nicholas Taylor · Rating 4 out of 5]

this feels very trippy like Bunny/Saltburn

[Mike Mroz · Rating 4 out of 5]

Thanks to Net Galley for an early version of the book.

Man, trauma really does move in waves and this book nailed that feeling. I found myself relating way too much to those moments where your thoughts just spiral and suddenly you’re deep down a rabbit hole, overanalyzing everything. It felt real in a way that kind of sneaks up on you. I do wish there was a little more closure on one piece, but maybe that was the point-some relationships just end messy and aren’t worth reopening. Overall, I really enjoyed it and it stuck with me.

[Trish · Rating 5 out of 5]

4.5 ⭐️’s

I went into Nerve Damage wanting one of those strange, slightly feral "weird girl" books I typically reach for as a palate cleanser, and instead found something far more tender and psychologically awake.

This book understands how damage can disguise itself as desire.

Clarice is unraveling, yes, but the novel never treats her as a spectacle or a diagnosis.
Her mess has history. It has heartbreak in it.
You feel how a life shaped by neglect and abuse can bend a person toward confusing attention for love, and chaos for intimacy.

There's sorrow in that, but also recognition.

PT (her ex) is soul-eroding toxic. The kind of man who survives on emotional extraction.
And the book is so clear-eyed about why someone starved for love might keep mistaking hunger for devotion.

I loved that even in breakdown, Clarice is not abandoned by the novel.
She has people. Damian, her brother, her friends & roommates…these beautiful mirrors of her core self. The one deep in there. So much fiction about female unraveling gives us isolation as destiny. This book leaves room for witness. For repair.
And I loved that.

There's something deeper humming too in the mother-daughter dynamic. A subtle, strange inversion where the daughter becomes the steadier emotional presence, to me anyway. It adds another layer to the ache of the book.

And the suspense…this is where the novel pulled me in.
The tension isn't only in what may or may not be happening around Clarice, but in the instability of perception itself.
What is threat? What is trauma echo? What is memory doing in the nervous system?
The book lets you chew on those.

And somehow it's funny. Darkly funny. Clarice is doing unhinged, crazy stuff, and somehow it's hilarious.

Stinson’s sentences have bite and edge.

The book's understanding that damage doesn't just wound us, it can organize the way we love until something breaks open and asks to be seen. I studied functional medicine, somatics and depth psychology for 20+ years to get that!

I thought I was reading a darkly offbeat literary suspense novel and found, instead, a book interested in how people survive what formed them.
And maybe how they begin to come back to themselves.
I loved it.

Thanks to Knopf for the ARC…out May 12th.

[nineinchnovels · Rating 5 out of 5]

I really savored this one because the writing of how someone with a traumatic past sees love - made for beautiful liners.

“We don’t love these guys despite them being assholes, I’ll tell her. We love them because they’re assholes! These are the subtle power of self-hatred.”

“I’ve only recently begun to suspect that love and struggle are not necessarily one enterprise.”

“The reason you are the unfortunate way you are, it’s got to be transgenerational stress inheritance.”

What happens when you are on fight or flight mode since the beginning? Since you were a child. You were shown love you don’t see on TVs. Your innocence taken and you’re pushed into adulthood faster than you can say stop. So you keep pushing through, pushing the bad memories down. Down so deep. Where ultimately, you don’t know if you can believe your eyes or your mind. You had to learn to make your reality a different scenario to make it through. To survive it. Your paranoia then becomes your closest ally. Your friend in survival.

[Shazzie · Rating 2 out of 5]

More like 2.5
Mismarketed. Tries too hard and the pacing is quite off.

I was given a review copy by the publisher.

[☆ lydiature ☆ · Rating 5 out of 5]

thank you netgalley and knopf for the advanced copy!!

HAPPY PUBLICATION DAY!!

“nerve damage” follows a young woman named clarice navigating the very scary threat of her ex-boyfriend (PT) potentially stalking her again after her restraining order ends. and of course, no one really believes her, leading her to mostly rely on her own resources while also feeling doubt. constantly, there is an undercurrent of clarice asking this question about herself: am i crazy?

which is a valid question, being that this book has the themes of the typical unhinged weird girl literary fiction. most of the female narrators in these books ARE unhinged and crash, constantly dancing between the line of good and evil. but they (most of the time) are also victims/results of the patriarchy.

but “nerve damage” is a little different in that clarice is actually very sane. she is just dealing with the affects of trauma—whether it’s from her dysfunctional upbringing, her strange relationship with her father, her psychotic ex boyfriend. i like the distinction that stinson makes. trauma does damage people psychologically but it doesn’t necessarily mean that the victims are crazy or even damaged goods. that’s what i liked about clarice—yes, she made some very questionable choices but she is refreshingly honest and does seek healing. her path to recovery might be different but it’s more than what other characters were doing in this book.

as far as the twist—it’s sad that clarice had to take control of her situation with PT when she thought she saw him again after 2/3 years. people—her therapist, her friends—constantly doubted her and that is a real thing that a lot of victims face. most people won’t outright say it—“you’re crazy”—when the victims finally get the courage to involve someone. but it’s the little questions—“are you really sure?”—that makes victims feel like they’re completely alone. and that’s where clarice was. yes, it’s unhinged to stalk your stalker but what else was she supposed to do?

i liked how the story itself was structured. we got to see how she and PT got together, how it ended, and what it could have ended like had she stayed with him (demonstrated by the stories of her mother’s relationships and clarice’s neighbors).

the dark humor and the writing style in particular reminded me of the narrators from otessa moshfegh and mona awad’s books and “i’m a fan” by sheena patel.

this wasn’t 5 ⭐️ but dang, it was mighty close to it. the story was compelling (and funny), full of fleshed out themes, and had a remarkable protagonist. the only thing i didn’t fully care for was the ending—it fell kind of flat to me. but i am definitely interested to see more of stinson’s works!

[AndaReadsTooMuch · Rating 3 out of 5]

Holy generational trauma, Batman! I went into this thinking it was all feminine rage and revenge, and this was not that. This was trauma, laid out in its fullest glory and shown in every single possible light. This was by no means an easy read. I saw an unfortunate reflection of more of my life than I’d wanted it. It’s deep. It’s heavy. It’s a little out there. And it’s a familiar story to more than a few of us. When a relationship takes a turn from unhealthy to volatile, Clarice finds herself stuck. In life, in love, and in her head. Surrounded by her friends and a very dysfunctional family, she’s trying to find her way out of it. This book did not go where I would have thought it would. It’s a very frank look at the way trauma (generational and regular flavor) shapes who we are, who we choose for ourselves, and how we see ourselves. Annakeara Stinson works through it all in first person. Nerve Damage is dark, acerbic, sarcastic, and blaringly honest.

Nerve Damage hits shelves May 12.

Huge thank you to Alfred A. Knopf and Annakeara Stinson for sending an early release copy for the opportunity to read and review. All opinions are my own.

[cursedb · Rating 4 out of 5]

I think this book explores themes of mental health and trauma quite deeply, so if those are not themes you usually enjoy reading about, it might be a difficult read for you.What made the novel so engaging for me, though, was how well-written the main character was. Her thoughts, paranoia, and emotional state feel incredibly vivid throughout the story, to the point where you can almost sense her anxiety on every page.I also think the book does a very effective job of playing with the reader’s perception by constantly making us question who is actually stalking whom. That shifting sense of uncertainty adds a strong psychological tension to the story and keeps the suspense engaging throughout.

[Ann · Rating 4 out of 5]

Nerve Damage is an interesting literary novel that evokes discomfort in the reader. We follow Clarice, our paranoid narrator through life as she’s convinced her old stalker has returned and she turns every way to figure out what to do (therapist, psychic, etc).

This book is slower pace than I expected. It’s very well written I just went into it thinking it’d be different than it is. Thanks Knopf for the arc.

[Dede · Rating 4 out of 5]

I throughly enjoyed this book and read it in one day. From the cover, I wasn't to sure about this book. True case of "don't judge a book by its cover"! I loved the storyline and the characters. I thought it was well written. I would definitely recommend this book.

[Kasee (litficlady) · Rating 4 out of 5]

Thank you Netgalley and Knopf for giving me access to this eARC!

The stalked becomes the stalker. I was biting my nails during parts of this book, oh my god! I’d say Nerve Damage is definitely for the weird girl lit lovers.

Just one month after the restraining order is up, while at a bar with friends for a Halloween celebration, Clarice believes she sees her ex boyfriend, turned stalker. It’s been three years since she last saw P.T., but the possible sight of him that night makes it clear that she is still struggling with the trauma of her past. Becoming increasingly paranoid, anxious, and fearful that her abuser could be lurking at any turn, she begins obsessively searching for clues that may lead to knowing the truth. Is he really tormenting her again or just a figment of her traumatized imagination, and just how far is she willing to go to find out?

This book gives such a closeup look at the psychological and physical toll of PTSD, fear, and paranoia. Being inside Clarice’s head as she recounts not only her relationship with P.T. and the stalking, but also the childhood abuse she endured that led her to being with someone like him all feels incredibly real. I think Nerve Damage is a story that many women could relate to in one way or another (with that being said, keep any trigger in mind). I liked the dark humor, the chilling descent, and was hooked by the unhinged nature of this book. I recommend if you like thrilling psychological stories with messy, flawed protagonists!

[Kahla · Rating 3 out of 5]

This story was suspenseful, yet trippy... and a super quick read! My only qualm was I didn't 'love' the ending, but I could appreciate the purpose of it and why the author took the characters in that particular direction. Thanks NetGalley for the ARC!

[Darcia Helle]

I'm not the right reader for this book.

I didn't understand the main character's reactions or decisions. It felt too surface-level and chaotic, given the complex and emotional topic.

DNF

*Thanks to Knopf for the free eARC, provided via NetGalley!*

[Courtney · Rating 5 out of 5]

If you enjoy the fast pace of a thriller, but want something more emotionally/psychologically driven, you’ll want to add Nerve Damage to your tbr right now! Seriously, add it.

Clarice is attempting to heal: from her absent father, parade of unhealthy men her mother brought into her adolescence, and most pressingly, her last relationship . Having moved across the country to avoid her ex-boyfriend, PT - whose harassment escalated to the point of requiring a protective order - Clarice has been able to focus on therapy, friendships, and her remote job. But when the two-year protective order expires and she thinks she spots PT at a local bar on the West Coast, she understandably panics. Rather than waiting to be found, Clarice becomes consumed with locating PT first, setting the novel’s tense tone and quick pace. As a reader, I felt second-hand anxiety driving me to keep reading until I also had the answers Clarice was searching for!

Clarice is a deeply developed FMC and will be (unfortunately) relatable to many women, in some capacity. Stinson skillfully provides just enough background to understand Clarice more fully without slowing down the current day plot line.
I greatly appreciated the portrayal of a woman actively engaging in therapy, genuinely trying to process her trauma in a healthy way, though I fully empathized with (and maybeee even rooted for) her more unhinged moments. The depiction of the protective order process was also powerful; it depicted how bureaucratic, drawn out, and retraumatizing seeking protection through our judicial system can be.

Know going in that there are some really heavy themes (harassment, stalking, SA, addiction/ACOA, etc.) and take care of yourself if needed while reading. But Nerve Damage is a must read in my book!

[James B · Rating 5 out of 5]

Thanks to Netgalley and Knopf for the ebook. Clarice is irrationally in love with P.T., even though it feels so unhealthy. When he cheats on her, she finally leaves him. Then P.T. seems to have a manic period where he’s constantly emailing, calling and texting Clarice until see has to get a restraining order. Three years later, Clarice lives in LA, but is still dealing with the wounds of that relationship, alone and petrified to even think about dating. Her best friend drags her out to a bar and she’s shocked to see P.T. at the bar, flirting with a bartender. She flees, but did she really see him? So now Clarice is forced to make sure. It’s not lost on her that she’s now stalking her stalker. Somehow the author makes this story hilarious and harrowing.

[Sophie · Rating 3 out of 5]

Overall I liked this, but it wasn’t the book I was expecting. From the blurb I thought there would be more action, with more time spent in the present and more unhinged, questionable behaviour. I expected to feel tense and uncomfortable, but in reality it felt a bit low stakes.

A lot of time was spent in the past explaining the situation, but it didn’t seem to progress much. The writing, while good, felt a bit young. That’s not necessarily a bad thing, as it made it very readable, just not what I was expecting.

Thank you to NetGalley and the publisher for the ARC in exchange for an honest review.

[Cory Thomas · Rating 4 out of 5]

Thanks to NetGalley and the publisher for the advance copy in exchange for my honest review. Stinson absolutely captured the fear and anxiety far too many women have to contend with at the hands of former romantic partners. This quote from when Clarice is granted the long term restraining order will stick with me: “I had legally been given what I was already due. Space and the greater possibility of peace.” If that isn’t a damning indictment of the way women are forced to move through this world, I don’t know what is. I look forward to reading whatever Stinson writes next.

[Mary Lomie George · Rating 5 out of 5]

This book was a WILD RIDE! The stalked becomes the stalker concept hooked me from the description. I have never read a book quite like this before. I love unreliable and unhinged narrators and Nerve Damage was definitely my cup of tea! It's a quick novel you'll fly through and a summer MUST READ! I can't wait to see what Annakeara Stinson comes up with next!!

I received an Advanced Readers Copy of this book from NetGalley. This review is honest, unbiased and completely my own.

[Erica | wittyreading · Rating 4 out of 5]

4.25 stars. A slow burn that is unnerving, chaotic and emotional. If you like messy girl stories or stories where the FMC is a little unhinged, then I highly recommend this. It's a great look at how people deal with trauma and how it has lasting effects on our psyche.

Thank you Knopf for providing this book for review consideration via NetGalley. All opinions are my own.