I believe this is autobiographical, even though it would be better if it weren’t. As she was growing up, Kayla E’s family were actively neglectful, when not subjecting her to emotional and sexual abuse. The whole thing is quite harrowing, yet is rendered in a cute and fun surreal retro comix style, complete with puzzles and quizzes. The cover gives a good flavour of the contents: I don’t think I have ever read such a nicely presented nightmare.
There are so many clever details, such as the way her mother is always shown looking into the frame so we never see her face. I am sure many people have had similarly awful childhoods, but Kayla E has at least made something tangible and worthwhile from hers.