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Little Earthquakes: A Memoir Hardcover – April 25, 2023

by Sarah Mandel (Author)
4.5 4.5 out of 5 stars 90 ratings
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“Sarah Mandel has done something remarkable here. I found myself weeping, laughing with delight and moved with love—all in the span of the day it took me to devour this book. Filled with deliciously specific images and metaphors, clear dialogue, and rich explorations of self and others, Mandel has written—among other things—a tender witness statement of and for her body.”—Hala Alyan, author of Salt Houses

A psychologist, wife, and mother chronicles her extraordinary journey with cancer while pregnant with her second baby, and the insights into life, death, trauma, and healing that she gleaned—an utterly inspiring debut memoir reminiscent of the intimacy and emotional power of Paul Kalanithi’s When Breath Becomes Air and Kate Bowler’s No Cure for Being Human.

When clinical psychologist Sarah Mandel was pregnant with her second child, she began preparing for her maternity leave, juggling the demands of her soon-to-be-new baby with the needs of her patients. Noticing a lump in her breast, she assumed it was most likely a clogged milk duct. But a biopsy revealed it was not. When she went into labor, she learned that she had Stage Four cancer—devastating news that forced her to confront terminal illness as she was bringing new life into the world.

But Sarah's illness took a highly improbable turn when, after three months of treatment, her second PET scan showed no evidence of disease. Sarah, however, was unable to celebrate the good news; she was frozen in a dissociated state caused by the emotional whiplash of going from oncology patient to new mother, from a terminal sentence to a shocking reprieve. As a therapist who specialized in trauma work, Sarah had utilized “narrative therapy” to help her patients. Now she wondered: Could the treatment that eased her patients’ pain successfully help her navigate her own trauma?

Little Earthquakes is a beautiful and thought-provoking debut from a brave and unwavering new voice that captures the mind, sears the soul, and leaves its indelible mark on the heart.

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  1. Print length
    288 pages
  2. Language
    English
  3. Publisher
    Harper
  4. Publication date
    April 25, 2023
  5. Dimensions
    5.5 x 0.97 x 8.25 inches
  6. ISBN-10
    0063270919
  7. ISBN-13
    978-0063270916
  8. See all details
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Editorial Reviews

Review

"Sarah Mandel has done something remarkable here. I found myself weeping, laughing with delight and moved with love—all in the span of the day it took me to devour this book. Filled with deliciously specific images and metaphors, clear dialogue, and rich explorations of self and others, Mandel has written—among other things—a tender witness statement of and for her body.” — Hala Alyan, author of Salt Houses

“This book is a foghorn. Yes it's murky, yes we're afraid, but Sarah Mandel is a robust and gentle guide through illness, recovery, and trauma. And Little Earthquakes is a love song to life.” — Catherine Newman, author of We All Want Impossible Things

"[Mandel] nimbly portrays the cocktail of emotions unearthed by the sentence 'You’ve got cancer,' and paints her supportive family with staggering compassion. Her dogged fight for her life will awe readers." — Publishers Weekly

". . . an encouraging story of trauma and how it affects one’s understanding of self." — Kirkus Reviews

"Couples dealing with cancer, or any other major setback, will find comfort in Mandel’s beautifully written, moving memoir." — Booklist, starred review

"Open, honest, painful, inspiring and thought-provoking, this memoir is precious." — Good Morning America

About the Author

Sarah Mandel was a clinical psychologist based in New York City. She lived in Manhattan with her husband and two daughters. She died peacefully on June 1, 2024, weeks shy of her 43rd birthday.

Product details

  • Publisher ‏ : ‎ Harper (April 25, 2023)
  • Language ‏ : ‎ English
  • Hardcover ‏ : ‎ 288 pages
  • ISBN-10 ‏ : ‎ 0063270919
  • ISBN-13 ‏ : ‎ 978-0063270916
  • Item Weight ‏ : ‎ 2.31 pounds
  • Dimensions ‏ : ‎ 5.5 x 0.97 x 8.25 inches
  • Customer Reviews:
    4.5 4.5 out of 5 stars 90 ratings

About the author

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Sarah Mandel

Sarah Mandel

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Customer reviews

4.5 out of 5 stars
90 global ratings

Customers say

Customers find the writing style remarkable, impeccable, and beautiful. They describe the content as poignant, inspiring, raw, and gripping. Readers appreciate the sharp honesty and open account of the author's traumatic experiences.

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Writing styleInspirational contentHonesty
5 customers mention "Writing style"5 positive0 negative

Customers find the writing style remarkable, impeccable, and beautiful. They also say the author's spirit, wisdom, and resilience are incredible.

"...This author's spirit, wisdom, and resilience are incredible and she is a beautiful soul. I highly recommend the book." Read more

"...She writes her narrative with impeccable grace...." Read more

"...Sarah Mandel's writing is filled with curiosity, creativity, and sharp honesty...." Read more

"This is a beautiful book that I could not put down. Sarah is a remarkable writer - and truly everyone will have something to learn and gain from..." Read more

4 customers mention "Inspirational content"4 positive0 negative

Customers find the book poignant, inspiring, and gripping. They say it's one of the most inspiring and moving memoirs they have read in some time. Readers also mention the book is full of life, an exquisite narrative of suffering and hope, and a warm hug of a read.

"...of physical recovery; and second that it is possible to live a rich, joyful and meaningful life one day at a time in the face of any diagnosis and..." Read more

"...It is an accessible and warm hug of a read. It is magnificently crafted, with precise choice of language and incisive structure...." Read more

"...Nevertheless, the reader is not traumatized. The book is full of life." Read more

"This is one of the most inspiring and moving memoirs I have read in some time...." Read more

3 customers mention "Honesty"3 positive0 negative

Customers find the memoir to be honest. They say it's an open and creative account of the author's traumatic experiences.

"Heartbreaking and heartwarming read, all in one. Sarah’s honesty and openness compel one to read page after page, taking as few breaks in reading as..." Read more

"This memoir is both an open, honest account of the author’s traumatic experience with stage 4 breast cancer and a guide for everyone who has been..." Read more

"...Sarah Mandel's writing is filled with curiosity, creativity, and sharp honesty...." Read more

Beautiful and deeply moving
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Top reviews from the United States

Sejal-NY
5.0 out of 5 stars Fantastic book
Reviewed in the United States on April 24, 2024
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This book is poignant, inspiring, raw, and gripping. A key takeaway I got from the book and one that offers me great hope is that healing is always possible and regardless of physical recovery; and second that it is possible to live a rich, joyful and meaningful life one day at a time in the face of any diagnosis and amid uncertainty. This author's spirit, wisdom, and resilience are incredible and she is a beautiful soul. I highly recommend the book.
9 people found this helpful
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Stacie Ebersold
5.0 out of 5 stars Excellent
Reviewed in the United States on June 23, 2024
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Heartbreaking and heartwarming read, all in one. Sarah’s honesty and openness compel one to read page after page, taking as few breaks in reading as possible.
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Charlotte Woodrow
5.0 out of 5 stars Hope in the throes of hopelessness. Richard Woodrow
Reviewed in the United States on June 5, 2023
Verified Purchase
This is an exquisite narrative of suffering and hope. The author is a trauma psychologist whose life was thrown into chaos in the final months of pregnancy when she was diagnosed with Stage IV breast cancer. Through the lens of trauma, Sarah Mandel courageously challenges herself to confront paradoxes of her life. She seeks to find a balance between tragedy and humor, pain and joy, science and the irrational, privileged access to resources yet little control over fate. Little Earthquakes is a memoir, just too true to be fiction. Yet it reads like a novel infused with psychological tools and insights. How could someone endure the simultaneity of new life and impending death. She writes her narrative with impeccable grace.
Little Earthquakes is a must read for anyone who struggles with trauma or post traumatic stress. It is an accessible and warm hug of a read. It is magnificently crafted, with precise choice of language and incisive structure. The author has opened up her psychological veins, much as she has opened her body to invasive treatments. The result is a book about hope in the throes of hopelessness. It will make you love Sarah Mandel and all the people who make her life so rich. And it will make you just s little more humble and grateful.
4 people found this helpful
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Jon Levy-Warren
5.0 out of 5 stars A Beautifully Written Guide for Telling Your Story to Process Trauma
Reviewed in the United States on May 20, 2023
Verified Purchase
This memoir is both an open, honest account of the author’s traumatic experience with stage 4 breast cancer and a guide for everyone who has been through trauma (everyone!) to enable them to heal through narrative therapy. Mandel is a therapist, carefully, gently and kindly guiding us through how to tell our trauma stories to heal while demonstrating how to do this through her story. I found the book very helpful to process my experiences. Mandel’s warmth emanates throughout and leaves this reader longing for the next book. I strongly recommend this amazing read!
6 people found this helpful
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Brenna H. Bry
5.0 out of 5 stars An Amazing Gift
Reviewed in the United States on June 14, 2023
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I appreciate so much the obvious time, care, knowledge, self-examination, and disclosure that trauma-informed psychologist Sarah Mandel poured into her miraculous “Little Earthquakes.” She has given the world a gift.
The book is a beacon for patients, families, caregivers, and friends about metastasized cancer. As reviewer Hala Alyan so beautifully shared, I also cried at the end of every early chapter and laughed out loud later on. Most importantly, though, Mandel portrays experiences beyond those that most narratives include and uniquely contextualizes them in the trauma endured. Nevertheless, the reader is not traumatized. The book is full of life.
5 people found this helpful
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L.A.P-D.
3.0 out of 5 stars Intense material
Reviewed in the United States on June 9, 2024
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But the writing itself was just OK to me—nothing special in the literary sense and even dull in spots, despite the intensity of the story itself.
One person found this helpful
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Leon Gellert
5.0 out of 5 stars Inspiring
Reviewed in the United States on April 28, 2023
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This is one of the most inspiring and moving memoirs I have read in some time. Sarah Mandel's writing is filled with curiosity, creativity, and sharp honesty. I am definitely reflecting on my own relationship with my body and am inspired to evolve that relationship after reading this book. I highly recommend for anyone interested in psychology or if you are just looking for a story to inspire you.
4 people found this helpful
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Amazon Customer
5.0 out of 5 stars ❤️ Loved it!
Reviewed in the United States on December 14, 2023
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I would say “just read the book”! It may help you value life’s smallest moments and things that are so often taken for granted…
6 people found this helpful
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