Plot Summary
Twenty-one-year-old Susannah Cahalan is an acclaimed writer for The New York Post, sharing her life with her new boyfriend, Stephen Grywalski. Suddenly, Susannah falls ill, beginning with symptoms akin to an ordinary flu, such as a persistent cough and overwhelming fatigue. However, her condition takes a bizarre turn as she exhibits peculiar behaviors during trance-like states, including hearing voices that aren’t spoken and an aversion to loud sounds.
As her erratic conduct intensifies, a seizure prompts her to seek medical assistance. The attending doctor dismisses her symptoms as mere exhaustion from partying too much and overworking. To find respite, Susannah moves in with her mother, Rhona Nack. Following an emotional breakdown, she suffers another seizure, leading to her admission into a medical facility for an MRI. In her mind, she grapples with the possibility of having bipolar disorder due to her drastic mood swings.
Caring for Susannah proves challenging for Rhona, eventually leading her to reside with her father, Tom Cahalan, and his fiancée. One fateful dinner escalates into violence during one of Susannah’s outbursts, which prompts her parents to insist on hospitalization despite normal results from various tests including MRI and EEG. Within the hospital, one doctor proposes the unsettling possibility of schizophrenia, warning that if Susannah’s condition does not improve, she may need to be moved to a psychiatric unit.
As time passes, Susannah’s condition deteriorates to a catatonic state, prompting her parents to enlist the help of Dr. Najjar, who undertakes an investigation into Susannah’s case. In a pivotal moment, he asks her to draw a clock; the result is alarming as all numbers are situated on one side, suggesting swelling in the right hemisphere of her brain. A brain biopsy is undertaken, and the results reveal a rare condition known as anti-NMDA receptor encephalitis—an inflammation of the brain that Dr. Najjar poignantly describes as “a brain on fire.” With this diagnosis, he commences treatment that facilitates her gradual but full recovery.
Fast forward seven months, Susannah triumphantly returns to her job and presents her first article since regaining her health to her boss, Richard. The article garners praise, leading him to encourage her to pen a memoir about her harrowing experiences, which she aptly names Brain on Fire. The film concludes with the impactful text that Susannah Cahalan was the 217th individual to receive a diagnosis of anti-NMDA receptor encephalitis; her memoir has since illuminated the paths for many others, resulting in thousands being diagnosed and treated subsequently. Today, she maintains a close friendship with Dr. Najjar, a testament to their journey together.
Timeline
Susannah Falls Ill
Susannah Cahalan, a 21-year-old writer, begins experiencing symptoms resembling the flu. What starts as a persistent cough and fatigue quickly escalates into unexplainable behavior, marking the beginning of her medical struggles.
Erratic Behavior Emerges
As Susannah’s illness progresses, she displays strange behaviors, including trance-like states where she hears non-existent voices and becomes sensitive to loud noises. These baffling symptoms raise concern among her family and friends.
Seizure Prompts Medical Attention
A seizure forces Susannah to seek help after her family realizes the severity of her condition. However, the doctor initially dismisses her symptoms as fatigue from overworking and partying too much, leading to frustration.
Moving in with Her Mother
In search of comfort and care, Susannah moves in with her mother, Rhona. The emotional strain of her deteriorating health takes its toll, ultimately leading to another seizure that necessitates hospital admission for further tests.
Struggling with Mental Health
Susannah grapples with her declining mental health, questioning whether she might have bipolar disorder due to extreme mood swings. This internal conflict complicates her already challenging situation as she seeks a proper diagnosis.
Living with Her Father
As Susannah's erratic behavior challenges her mother’s ability to care for her, she moves to live with her father, Tom, and his fiancée. This relocation adds another layer of complexity to her already turbulent life.
Dinner Escalates to Violence
During a dinner, Susannah's outburst turns violent, raising alarm among her parents. This incident convinces them to insist on hospitalization despite previous normal test results, propelling her further into the healthcare system.
Hospitalization and Diagnosis Attempts
While in the hospital, various tests including MRIs and EEGs yield no conclusive results. One doctor begins to consider the possibility of schizophrenia, creating a sense of urgency and fear for Susannah's future.
Investigating Susannah's Case
As Susannah's condition worsens, her parents seek the expertise of Dr. Najjar. He conducts an investigation that includes a disturbing clock-drawing test, revealing troubling signs that hint at a serious neurological issue.
Diagnosis of Anti-NMDA Encephalitis
A brain biopsy provides the shocking diagnosis of anti-NMDA receptor encephalitis, described by Dr. Najjar as 'a brain on fire.' This diagnosis finally offers an explanation for Susannah's troubling symptoms and opens the door to potential treatment.
Beginning of Treatment
With the diagnosis in hand, Dr. Najjar initiates treatment that includes immune therapies. This marks the pivotal moment in Susannah's journey, as she begins to show signs of recovery from her debilitating condition.
Returning to Work
After seven months of recovery, Susannah joyfully returns to her job at The New York Post. She presents her first article since her health crisis, which reflects her journey and resilience.
Writing Her Memoir
Encouraged by her boss, Susannah embarks on writing a memoir titled 'Brain on Fire' to share her harrowing experiences. This project serves both as a therapeutic outlet and a means to raise awareness about her condition.
Impact of Her Story
The film concludes by revealing that Susannah is the 217th person diagnosed with anti-NMDA receptor encephalitis. Her memoir has since inspired many others facing similar struggles, resulting in increased diagnoses and better treatment options.
Ongoing Friendship with Dr. Najjar
Susannah maintains a close friendship with Dr. Najjar, reflecting on their shared journey through her health crisis. This connection underscores the importance of understanding and support in overcoming life-altering challenges.
Characters
Susannah Cahalan (Chloë Grace Moretz)
Susannah is a bright and ambitious 21-year-old writer whose life is turned upside down by a mysterious illness. As she descends into confusion and delirium, her fight to regain clarity illustrates her resilience. Her character journey is both heartbreaking and inspiring, as she navigates through fear, stigma, and ultimately triumph.
Rhona Nack (Carrie-Anne Moss)
Rhona is Susannah's loving but worried mother, who faces significant emotional turmoil as she watches her daughter's health deteriorate. Her role emphasizes the strain families experience when dealing with illness and the challenges of providing care. Rhona’s instincts as a mother drive her to seek help, showcasing her strength and dedication.
Dr. Najjar (Navid Negahban)
Dr. Najjar is a dedicated and insightful physician who plays a pivotal role in diagnosing Susannah’s rare condition. His commitment to uncovering the truth behind her symptoms exemplifies the importance of persistence in medical practice. He becomes a beacon of hope for Susannah and her family during their darkest times.
Tom Cahalan (Richard Armitage)
Tom is Susannah's father who struggles with helplessness as he witnesses his daughter's declining condition. His character illustrates the challenges faced by caregivers and the balance between offering support and grappling with despair. He navigates a complex relationship with Susannah as they both face the emotional toll of her illness.
Setting
Time period
The story unfolds in a contemporary setting, reflecting modern medical practices and societal attitudes toward mental health. The challenges Susannah faces in obtaining a correct diagnosis highlight the complexities of neurological disorders in today's world. The timeline emphasizes both the urgency and the gradual process of understanding such illnesses.
Location
New York City
New York City is a bustling metropolis known for its diverse culture, iconic skyline, and vibrant arts scene. It serves as a hub for journalism, with many prominent newspapers headquartered there, including *The New York Post*, where Susannah works. The city's fast-paced lifestyle and multitude of experiences can significantly impact its residents' mental health.
Themes
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Mental Health
The film delves deeply into the complexities of mental health, showcasing how Susannah's life is disrupted by a mysterious illness. It highlights the struggles patients face in getting an accurate diagnosis and the stigma associated with mental disorders. Ultimately, Susannah's experience raises awareness about rare diseases and the importance of empathy in the medical community.
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Perseverance
Susannah's journey exemplifies perseverance in the face of devastating health challenges. Her determination to uncover the truth about her condition and regain control of her life showcases her inner strength. The support from her family and Dr. Najjar plays a crucial role in her recovery, underscoring the power of connection and advocacy.
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