Hope in Patience is not your typical teenage problem book. Fehlbaum’s story begins after the physical and sexual abuse of the main character, Ashley by her stepfather, Charlie. She has moved to Patience, Texas to live with her biological father, David, stepmother, Bev, step brother, Ben and dog Emma. Suffering from PTSD, post traumatic stress disorder, Ashley has to face her past and find a way to live in the present and see a future for herself with the help of her therapist Dr. Matt. Hiding in the dark, hurting herself and isolation are Ashley’s coping mechanisms. She wants the love of her mother and to know that she believes that Ashley was abused by Charlie. As Ashley learns living in Patience and through the patience of her new family, therapist and friends, is you don’t always get what you want. What the reader gets is a glimpse into the healing process which is not quick, pretty or made-for-TV happy. What Ashley gets is the ability to move on. Hope in Patience is a gritty read well worth the time and energy.