Amazon Review
Janice Galloway's The Trick Is to Keep Breathing opens with a woman watching herself from the corner of a darkened room. Immediately, Janice Galloway sweeps us inside her heroine's confused psychology. Alone in her flat, the woman (ironically named "Joy") sits quietly in the dark, nervously checking the clock, jumping at the shrill ring of the telephone. We learn through a series of flashbacks that the twin deaths of her married lover and her mother have brought her to this state of intense neurosis: "I don't feel as if I'm really here at all". Fragmented sentences and an irregular typography help to capture her deepening sense of dislocation and bewilderment.

With such a depressing subject matter at hand, it would be easy for Galloway's prose to become irritatingly introverted. With her sharp wit, however, Galloway skilfully prevents her narrative from sliding into egotism and self-pity. There is a host of minor characters to provide comic relief--the overweight, awkward health visitor; the pompous, irascible doctor; the man from the bookies who is desperate to seduce her; and the ever-mad Ros, another patient on the psychiatric ward where Joy inevitably ends up.

Galloway is writing in a long-established tradition of confessional fiction with mentally disturbed women at its centre. Like Sylvia Plath in The Bell Jar and Susanna Kaysen in Girl, Interrupted, Galloway explores the complexities of the patient-doctor relationship. Where she differs is her sustained satire of the meagre attempts of doctors and psychiatrists to help their patients out of spiralling depressions. It is this sense of social critique that helped Galloway win two top awards--the American Academy EM Forster Award and the MIND/Allan Lane Book award--for this, her first novel. --Vanessa Cook