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Elizabeth always goes into deep detail about what is happening, to describing every detail about the food in front of her to describing her runs to the beach and dates with Charlie. This book is full of imagery so I feel that it would be the best imagery element for this book.

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This image explains what goes through Elizabeth's when she is eating, she will take as little amounts of bites as she can just so she can stay a size 0. She will break up her food to make sure she is barley eating any food or she will sneak it under her shoe or in her sleeve to throw it out later.

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Imagery
The use of concrete details that appeal to the five senses; specific images establish mood

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This is an important Image  because whenever Elizabeth would get stressed out or she would feel the need to loose weight she would run on the beach, or she would go on dates with Charlie there, this was what cleared her mind. She loved the smell of the beach. It was her safe place.

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This is a good book review, it almost hits all the elements in the book except the love triangle. There is romance in this book, Elizabeth had the perfect boyfriend named Charlie who loved her, except her body he hated that she didn't eat and decided to break up with her. But the twist is that Tristan who was Charlie's best friend actually liked Elizabeth but Charlie swooped in before Tristan could. But Tristan let Elizabeth go until he started seeing her and becoming close to her. He wanted to date her but she told him she needed time and he knew why and he would wait for her she just knew it. This was an important part in the book and it was left out in the review, they had everything else but that one part.

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Book Review from School Library Journal:

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Book Review from School Library Journal:

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Gr 9 Up—This debut novel offers readers an authentic and in-depth look at eating disorders as 16-year-old Elizabeth Barnes battles her disease and begins to learn that healing and acceptance must come from within. When she and her parents first pull up to Wallingfield Psychiatric Facility, Elizabeth is convinced that they've made a terrible mistake. While she's fairly certain she does have an eating disorder, the severity of her situation has yet to sink in. At first, Wallingfield, with its mandated meals, constant supervision, and daily weigh-ins, feels as cheery and welcoming as a prison, but as Elizabeth grows closer to the other residents and gradually accepts some of the more painful truths about her illness, she realizes what  she must do in order to get back the life that anorexia has taken from her. Elizabeth is a sympathetic narrator, relatable even in the midst of her turmoil. The arrival of several mysterious packages lends some intrigue and romance to the narrative. The secondary characters are well drawn, and the friendships that the protagonist forms with her fellow patients allow the author to delve into a multitude of perspectives on eating disorders. The book doesn't sugarcoat and portrays with steady clarity and empathy the characters' struggles. VERDICT Filled with honesty, heart, and unexpected humor , this story is sure to please a multitude of readers. A recommended purchase for larger collections.—Laken Hottle, Providence Community Library --Laken Hottle (Reviewed 06/01/2017) (School Library Journal, vol 63, issue 6, p104)

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This quote explain what happened when Elizabeth was trying to pick her food out, when Elizabeth was finally able to pick her own meals out she thought it would be a breeze but it wasn't. What she needed to included into her meal was:
Protein:6
Starch:10
Fruit:11
Dairy:3
Fat:10
She was stressed out with how much she had to eat like she said "It was to much." She didn't know how she would eat all that food with a size zero on the line. She wants to get better she wants to go home and live the life she has always wanted to live not worrying about food or how much she weighed, she wanted a boyfriend and trips to the mall she wanted this life. But she could only get this life if she ate everything she had to eat.

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"That was a lot of food.
It was to much.
Too much.
Too. Much.
(Ballard 101)