A teenager reveals anxieties about personal identity issues in "one of the first YA books to deal with the complex issue of gender fluidity."*

A Lambda Literary Award Finalist

An ALA Top Ten Quick Pick for Reluctant Young Adult Readers

A Rainbow Book List selection

Riley Cavanaugh is many things: Punk rock. Snarky. Rebellious. And gender fluid. Some days Riley identifies as a boy, and others as a girl. But Riley isn't exactly out yet. And between starting a new school and having a congressman father running for reelection in über-conservative Orange County, the pressure -- media and otherwise -- is building up in Riley's life.

On the advice of a therapist, Riley starts an anonymous blog to vent those pent-up feelings and tell the truth of what it's really like to be a gender fluid teenager. But just as Riley's starting to settle in at school -- even developing feelings for a mysterious outcast -- the blog goes viral, and an unnamed commenter discovers Riley's real identity, threatening exposure. And Riley must make a choice: walk away from what the blog has created -- a lifeline, new friends, a cause to believe in -- or stand up, come out, and risk everything.

From debut author Jeff Garvin comes a powerful and uplifting portrait of a modern teen struggling with high school, relationships, and what it means to be a person.

"A beautiful new addition to the queer YA canon." -- New York Times-bestselling author Robin Talley

"Riley's emotional life and personal growth shed welcome light on a hitherto obscure subject." -- *Booklist (starred review)

"Both highly entertaining and highly necessary, Symptoms is the kind of book that makes you a better human for having read it." -- Dahlia Adler, author of Under the Lights

• We started tracking this book on February 4, 2016.
• This book was $10.99 when we started tracking it.
• The price of this book has changed 66 times in the past 3,600 days.
• The current price of this book is $2.99 last checked 20 hours ago.
• This book is at its lowest price in the past six months.
• This lowest price this book has been offered at in the past year is $1.99.
• The lowest price to date was $1.99 last reached on March 12, 2025.
• This book has been $1.99 5 times since we started tracking it.
• The highest price to date was $12.15 last reached on October 13, 2025.
• This book has been $12.15 3 times since we started tracking it.

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• Text-to-Speech: Disabled
• Lending: Disabled
• Print Length: 338 Pages