Goodreads asked Rachael K. Hannah:

Where did you get the idea for your most recent book?

Rachael K. Hannah I've always felt a need to create a story that realistically portrayed mental illness in a way that humanizes the people dealing with it. It felt important to explore, and not make light of, the gravity of the situation, yet not forget that at the end of the day they're people who have everyday lives to live. I also wanted to create characters who, although flawed, were devoted to one another despite all. In Painting Sage, there are no good guys and bad guys. There are many sides to each character, and I hope that my readers can relate to them.

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