With gothic intensity, Liz Jensen conjures the unnerving relationship between Gabrielle, a physically and emotionally damaged therapist, and her patient, sixteen-year-old Bethany, who is incarcerated in a British psychiatric hospital for the brutal murder of her mother.

Delving deep into the psyche of her fascinating, manipulative patient, Gabrielle is confronted by alarming coincidences between the girl's paranoid disaster fantasies and actual incidents of geological and meteorological upheaval. Coincidences her professionalism tells her to ignore - but which her heart cannot.

As Bethany's warnings continue to prove accurate beyond fluke, and she begins to offer scientifically precise hints of a final, world-altering cataclysm, Gabrielle is confronted with a series of devastating choices. Only to discover that in a world on the brink of apocalypse, belief is as precious - and as dangerous - as life itself..