Nearing her 100th birthday, Roseanne McNulty faces an uncertain future as the Roscommon Regional Mental Hospital where she's spent most of her adult life prepares for closure. Over the weeks leading up to this upheaval, she talks often with her psychiatrist Dr. Grene, and their relationship intensifies and complicates. Told through their respective journals, the story that emerges is at once shocking and deeply beautiful; a secret history of Ireland's changing character and the story of a life blighted by terrible mistreatment and ignorance.