Erica - I felt like overall the book dealt too much with the dark places of the adult mind more so than the teen place of Ava's mind. It was a mix, so I'm guessing that's why they felt they could label YA, but there was so much that took place with thoughts and ideas more relevant to adults, that it didn't seem to fit the YA age group for me. It's not that YA readers couldn't connect with it, because I think there's a large group of mature teens who could get the underlying messages, but as a whole, it seemed more geared to truths we adults might understand. Especially since it was a grown woman looking back on her teen years and seeming them through the lens of maturity, growth and experience. I think they made the right gamble in getting it more readers, and I'm glad they did because I probably wouldn't have read it had it been labeled adult, but it's one of those books that could be either I guess.