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Hands: An Anxious Mind Unpicked

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‘Raw, intense and absorbing.’ MATT HAIG

A memoir of place, belonging and compulsion



I didn’t give my hands much thought before they turned against me. They’ve not attempted to snatch away my life in any literal sense – thankfully my unwell brain and its troubled, dexterous agents have never veered in that direction – but at the time I’m, we’re, writing this, it would not be untrue to say that they have been chipping away at my life, slowly, slowly, in a way I could never have predicted.


When an unexpected, life-altering mental disorder upended writer Lauren Brown’s life, she knew the only way to get to the root would be to find the thread – wound, red, around trees, tangled and frayed in places – and start following it with her hands, hands that had betrayed her, back to the root. What emerges is not only an attempt to redirect the anxiety that’s pooled in her fingertips for as long as she can remember, released in odd bursts in caravan parks, on the north-east coast, in school assembly but a journey towards forgiveness, acceptance, and a love-song to the north.

240 pages, Hardcover

First published January 1, 2022

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Lauren Brown

52 books3 followers

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5 stars
24 (15%)
4 stars
50 (31%)
3 stars
64 (40%)
2 stars
15 (9%)
1 star
4 (2%)
Displaying 1 - 30 of 34 reviews
Profile Image for Sara.
1,249 reviews384 followers
January 20, 2022
ARC received in exchange for an honest review. Small disclaimer - I know Laura's dad (he's my postman!) but this does not affect my review in any way.

Laura's memoir delves deep into the psyche of mental health, OCD and dermatillomania. It's an incredibly honest and frank book - Laura never shys away from sharing some of her lowest moments, but also intersperses them with little spots of joy. For me, growing up in Billingham, it was wonderful to see someone else's perspective of the area and I could vivdly recall every location Laura describes and feel my own sense of nostalgia. My son even goes to the same secondary school, and I drive past her old primary school every day.

Laura is also a truly beautiful writer, weaving lyrical sentences with an emotional punch that really struck a personal cord with me and allowed me to connect with her story. If anything I think I would have liked a bit more structure to the overall story. Laura tends to flit from one memory to the next, which isn't necessarily my preferred structural style - however overall I think it fits well with the narrative. A very talented writer, I'd love to see Laura try her hand at fiction.
Profile Image for Kate Henderson.
1,413 reviews45 followers
January 21, 2022
As a person with anxiety, I always seek out books on this topic. I have subsequently read a lot of books on depression and anxiety.
I like that this book focusses on skin picking -something that I have been doing since a child, but up until recently I didn't realise was a symptom of my anxiety. I like that this book looks at this.

However, overall I really didn't enjoy this book. The book felt very unstructured, and felt like a generic memoir rather than something focussing on anxiety like the title promises. When Lauren Brown was talking about her holidays, or other things about her life I did switch off - but when the anxiety came to focus again, that is when I was interested. Although I'm clearly a similar age to Brown (because I could relate to a lot of the pop culture references) I just didn't care about these parts of the book- they felt irrelevant.

I wish the book spoke more about anxiety and treatment, and had less of the waffle about childhood etc. I feel my view is harsh, and knowing the author has anxiety, I don't want to upset. However, I do feel that I have to be honest to my own opinion.
Profile Image for Annine.
516 reviews12 followers
January 30, 2022
For my diversity challenge: mental health focus

3.5⭐ Brown has a very good and light-hearted way of writing, which I really enjoyed. I would have liked if there was even more focus on hands and that physical manifestation of anxiety
Profile Image for Emily.
90 reviews2 followers
February 1, 2022
Lauren Brown is a beautiful writer who is able to articulate her struggles with her mental health and dermatillomania in a way that is both deeply personal yet completely accessible to anyone reading Hands. Frank, darkly comic and enlightening, this book is a wonderful read that I would highly recommend to all.
5 reviews1 follower
January 24, 2022
Hands by Lauren Brown is an unflinchingly honest account of mental health injected with the perfect amount of witty northern humour

I became interested in reading this book because Lauren suffers with dermatillomania, a condition in which she obsessively picks her skin and through this has come to see her hands as her enemy. A friend of mine suffers with something very similar and reading Lauren’s vivid exploration of her own mind and past experiences has truly helped me to understand. She unpicks incidences from her childhood and adolescence, explaining her compulsive feelings to act out pooling within her fingertips; the overwhelming need to squeeze a ketchup packet till it bursts, to touch a piece of art in a gallery, dismantling it. While, yes, we may have all felt momentarily compelled to do something that we know we would instantly regret, for Lauren these moments are completely absorbing until she feels a sense of release and all ultimately lead up to how her anxiety comes to manifest itself as she gets older.

The narrative of this memoir is knotted, jumping from memory to memory and while sometimes it felt Lauren was going on a tangent, this was something I loved about it. It felt like talking to a friend and having a completely non-judgemental conversation about mental health. Also, perhaps because I’m also northern and not too far apart in age, I found Lauren so funny that I had to use a tab solely for all the bits I actually laughed out loud at.
Profile Image for Dawn Robinson.
74 reviews4 followers
November 25, 2021
Hands is a memoir of Lauren's life and journey with her struggle with dermotillomania, a form of OCD. This story really took me back to my own childhood as Lauren talks about her music taste, the good old days of MSN and of course DJ Smally! Whilst this book is absolutely hilarious, it really delves deep into important topics of mental health which other people shy away from. Lauren tries to discover the root of her anxiety and I found it interesting to see how her anxiety was present even as a child and how it became more apparent as she got older. This book isn't a self-help manual but is instead a true and raw depiction of how dealing with mental health affects everyday life. Personally, I found Lauren's honesty very inspiring and as someone who also suffers with their mental health, I know that articulating how you feel and putting your past on paper is far from easy. 




Hands explores Lauren's life and how her anxiety affects all parts of it such as school, relationships, her home life and her hopes. Hands deserves a big audience, it's relatable and funny but also takes a realistic approach in regards to dealing with mental health. 
This is the best book I have read which deals with a tough topic that will relate to many people, it's realistic, funny and heartbreaking all at once. I wish Lauren the very best for her future and that all her strength and courage is rewarded.
Profile Image for Jen Burrows.
373 reviews16 followers
December 8, 2022
Hands is an emotive and relatable memoir about anxiety, suffused with self-awareness and 90s-child pop-culture references. Individual scenes are vividly described, and I warmed to Brown's funny and confessional tone.

But crucially, it's missing a cohesive narrative arc that ties each step of the journey together. While you get a sense of the chronology every now and then, the structure is pretty haphazard, jolting between memories and different emotional states. It's frustrating, because every time you feel you're getting close to a moment of clarity, you'll find yourself suddenly uprooted in a seemingly unrelated recollection of a past family holiday or trip to the dentist. For a memoir with the subtitle An Anxious Mind Unpicked, it feels somewhat ironic that the narrative gets more and more knotted as it goes.

Thank you to ThePigeonhole.com for sharing this book!
49 reviews
April 6, 2022
2.5
This isn't about skin picking. This is a memoir about someone with skin picking problems.
Everything written were foreshadowing and reasons for why she picks and I think they were much needed.
I also however struggle to stay focused and find myself zoning out while reading.
1 review
February 15, 2022
This author absolutely nails the energy of anxiety in her writing, while also providing a thoughtful and often hilarious tour of her own life. We’re treated to flowing montages of memories, sometimes seemingly disparate, that artfully coalesce into a portrait of the author’s inner life. This structure, which other reviews seem to bounce off as unorthodox, brilliantly reflects the way our experiences intertwine to form the way we view the world and become the people we are, faults and all.

With a book about mental health, often people will come to it with some expectation or hope for answers, and I really appreciate that Brown doesn’t pretend that she has them, which writers often imply (probably because that’s what we’re all desperate for and it sells books) but can in truth never truly provide because there are no simple answers.

Brown instead astutely observes that mental health is a process and invites us into hers. This isn’t a self-help book, it’s a memoir told with a powerful and poetic voice, which dexterously (pun intended) weaves together Brown’s thought processes with the stories she tells. I think that’s the most we can hope for from a book about health—an immersive exploration of what it means to live with a condition, from a keen and insightful mind. From that perspective it’s hard to see this book as anything but a great success.

To see a brand new author come out of the gate with a voice and intellect like Brown’s is rare, and I look forward to reading whatever it is she turns herself to next.
2 reviews
February 18, 2022
This is a brave and honest memoir. Although it grapples with many shades of mental health, it is not cliché, mawkish or too internal, but often refreshingly funny and shot through with a genuine joy for life. I laughed, I cried and I was surprised.

I particularly loved how it was structured, in long chapters like acts in a play, and how each chapter had a central image or idea, from which the themes emerged. It is very original in this way.

As someone who would not normally be attracted to a memoir or a book about mental health, I felt challenged and continually engaged by Hands. Brown is clearly a gifted and dexterous writer.
Profile Image for Sonja  S. .
222 reviews
February 23, 2022
I want the peace and quiet and security of not losing myself to paradoxically find myself, but to be very much myself and to be OK with that. Maybe that’s the ‘of this world’ feeling. I don’t want extremes any more; I don’t want all or nothing; I want to accept the existence of both. I don’t want to escape any more, into my numb, picking void; I want to feel it all. But life has always just felt so very, very loud.


This is a really good memoir, but at moments it was so uncomfortably relatable that it felt like someone picking around the most hidden and dark parts of my brain without my permission, so 3 stars it is.
10 reviews
April 28, 2024
Lauren Brown's debut is absolutely brilliant. It's rare to crack open book and realize almost immediately that it could only have been written by a singular mind—in this case, one with a voice that's warm, funny, self-deprecating, and deeply charming. Brown weaves gorgeous descriptions of her childhood in the north of England with a long excavation of the roots, and manifestations, of her anxiety. What unfolds is a narrative structure that seems to mirror the nature of anxiety itself (and—not to romanticize it—but maybe even the flashes of insight that anxiety can bring). Despite its heavy subject, Hands left me hopeful, and also eager to read whatever Brown writes next.
Profile Image for Lucy.
653 reviews13 followers
January 3, 2022
Thanks to NetGalley and the publisher for this ARC.

Hands is an accomplished debut by Brown, part-memoir and part-informational, delving into her past to discover the triggers and turning points of her illness. Her narrative voice is warm and confessional, like a good friend, which perhaps hides the stark facts of her tale - including that our over-stretched mental health services mean waits of months or years for help, Her perspective, bringing the Northern working class experience to the fore, is fresh and necessary. I laughed, shed a few tears, and learned a lot.
Profile Image for 🌶 peppersocks 🧦.
1,281 reviews17 followers
July 3, 2022
Reflections and lessons learned:
“We addressed, briefly, how I was numbing myself with content. I couldn't even put the bins out without listening to a podcast. As soon as I woke up, I had one in my ears, probably about some horrific murder, and I'd only take it out the second I stepped into the office. As soon as I left I'd have it in again, and when I got home l'd binge Netflix. I was also addicted to Candy Crush so would play that to drown the world out, too. My therapist challenged me to do nothing on my journey to work as often as I could. To just be on the tube, looking out the window, thinking. Being.”

A stumble through reflections from life passages of nerves, confusion, anger and defeated feelings, all trying to find the resolution each time. Can there be a neat bow on the top of each parcel? No, and Brown acknowledges this whilst still trying to tidy the memories and experiences. Not always a comfortable read, but useful to see for people who think that they may be on their own with these moments
Profile Image for Rachel Chambers.
237 reviews6 followers
January 20, 2022
I'm not really sure what I think of this book. I'm a picker so was hoping for answers but didn't really get any.

The writing style was quite manic and disjointed which I enjoyed. It got across the authors anxiety perfectly and was a style I could relate to.

I read this book looking for a kindred spirit and think I found that in the author. I'm just a bit sad that it feels like we will be pickers forever.
February 15, 2022
As someone who undergoes waves of anxiety, I really connected with this book.
Lauren articulates the mental prison and tricks an anxious mind creates and how debilitating it can sometimes be. On the whole, I enjoyed Lauren's memoir. Her colloquial writing style and references to early noughties nostalgia made me laugh at loud. I would really recommend this book to anyone going through anxiety. Lauren's book is comforting and makes one realise you are not alone.
Profile Image for Cat.
65 reviews
August 17, 2022
This book meant a lot to me. I also have dermatillomania. I’ve never written that sentence before! It’s such a confusing, tangled thing. Lauren’s writing on it really resonated with me. The link to perfectionism, all-or-nothing thinking, the fear of phone call, emails and letters, the anxiety. I feel incredibly happy to have found this book. Thank you so much Lauren for writing it, I always thought it was just me being really weird and terrible! Thanks :)
Profile Image for Christine Rennie.
2,434 reviews36 followers
January 20, 2022
Hands by Lauren Brown is a book about anxiety and mental health. The book details how her condition affects her day to day living. I hope having written about her problems from childhood, it has helped to alleviate her mental health condition and that other readers may identify with the author.
Profile Image for Jessica.
94 reviews
Read
March 27, 2022
A dialogue on anxiety and how that manifests in day to day life. Quite difficult to read in my opinion, as it brings up small points which carry large mental effort. Well explained and detailed, but definitely not easy, quite uncomfortable to reflect on.
Profile Image for Kim Russell.
Author 4 books18 followers
January 16, 2022
I really struggled with this book, which I was reading stave by stave with The Pigeonhole, and couldn't make it to the end. It was a confusing ramble that seemed to lead nowhere.
Profile Image for Gail Danks.
506 reviews2 followers
January 22, 2022
I didn’t like this style of writing - I really didn’t enjoy this book very much unfortunately.
January 23, 2022
Brilliant book, I thoroughly enjoyed reading this. Lauren Brown's writing is really absorbing, and also not a style I've read much of before, which is very refreshing - would recommend.
27 reviews
January 24, 2022
An interesting read about the authors experience with her anxiety, but it lacked a structure. Very much a personal memoir
10 reviews
March 5, 2023
2,5 ⭐️ Some passages were nice. But a lot of very specific memories tat could have been shorter. Very long sentences.
25 reviews
May 14, 2023
An interesting insight of an anxious mind. By using various keywords Lauren strings together series of events and how the thoughts at the moment lead to the actions performed by her hands.
Profile Image for Adam.
Author 3 books8 followers
September 7, 2023
An admirably honest, relatable and frequently funny exploration of an anxious self.
Displaying 1 - 30 of 34 reviews

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