Doctor David Spears is haunted after a patient’s suicide and follows a worried lead to Utqiagvik, the northernmost town in the United States. When another patient, Amka Obed, disappears, what began as concern for a vulnerable client becomes a dangerous search for the truth.

Local officials offer reassurances while Spears and social worker Taylor Holmes uncover conflicting possibilities: a newly prescribed antidepressant, ties to a drug network, and a community that protects its own. The investigation moves from clinical questions about medication to a broader, darker web of secrets.

Blending medical ethics, small‑town intrigue, and Arctic isolation, the novel examines how professional duty collides with personal guilt and local power structures. Fast-paced and atmospheric, it follows two determined characters as they race to find answers before more lives are lost.

Highlights

• Setting: Utqiagvik, Alaska — remote Arctic atmosphere
• Focus: psychiatry, antidepressant concerns, missing-person investigation
• Themes: isolation, ethics, crime, community secrets

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