Who is Andrea Bern? When her therapist asks the question, Andrea knows the right things to say: she’s a designer, a friend, a daughter, a sister. But it’s what she leaves unsaid—she’s alone, a drinker, a former artist, a shrieker in bed, captain of the sinking ship that is her flesh—that feels the most true. Everyone around her seems to have an entirely different idea of what it means to be an adult. But when Andrea’s niece finally arrives, born with a heartbreaking ailment, the Bern family is forced to reexamine what really matters.