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Psychotic Obsession
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Psychotic Obsession

Psychotic Obsession

by Leigh Rivers 2025 442 pages
4.22
32k+ ratings
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Plot Summary

Prologue

Aria1 reflects on love as the force that controls everything not the sunlit version from movies, but the kind that dismantles identity. She describes a man who consumed her body with seduction and false promises while his blue eyes burned into her psyche, who wanted to own her completely, whose charm concealed suffocating control.

Physically, he never raised a hand. Mentally, he dismantled her sense of self. His twisted fixations led to devastating consequences he could never acknowledge unless those consequences touched her. Nothing else mattered to Tobias Mitchell.2 Nothing but her.

Tripped Into His Orbit

A clinical scientist stumbles over her new assistant's outstretched legs

Aria Miller,1 a twenty-seven-year-old Scottish clinical scientist, is at a Florida hospital fighting for Ivy Dermot9 an eight-year-old with an undiagnosed degenerative illness. After enduring a meeting where older specialists question her youth and qualifications, she exits to find a man blocking the hallway, legs stretched across the floor.

She trips over him and crashes face-first onto marble, scattering files and a tampon. He scrambles to help blue eyes, deep dimples, an apologetic smile. This is Tobias Mitchell,2 one of two assistants newly assigned to Ivy's9 case.

He introduces himself with a flirtatious comment she should find inappropriate at work. Dr. Blythe,7 the lead specialist and secretly Tobias's2 stepfather, soon assigns Tobias2 directly under Aria.1 She has no idea what she's stumbled into.

The Bathroom Stall Kiss

Forbidden mouths meet at work; a no-strings pact follows

Over late-night texts supposedly about Ivy's9 case files, Aria1 feels the pull despite herself. She recently left Ewan,3 her boyfriend of a decade, after discovering a years-old infidelity he'd lied about a breakup complicated by Jason,8 Ewan's3 ten-year-old son she helped raise.

Tobias's2 persistence wears her resistance thin. One afternoon, he traps her between himself and her desk and asks if kissing her would be inappropriate. She answers by pressing her lips to his.

He follows her into a bathroom stall, locks the door, and pins her to the wall with his hand on her throat. That night, she texts proposing no-strings sex. He's already booked a room at her hotel. Within minutes, he's at her door. The arrangement is supposed to end when she flies home.

The Dossier on Doctor Miller

Tobias hires an investigator and drugs her water while she sleeps

Behind the dimples operates a mind Aria1 cannot see. Tobias2 has paid someone to compile a file on her birthplace, pill prescription, ex-boyfriend's name, home address, grocery habits. He follows her and Gabriella,4 her best friend and colleague, to stores and cinemas.

After driving the group home from a night out, he slips his prescription sleep medication into everyone's water so he can stay in Aria's1 room undisturbed. While she sleeps, he traces her lips, breathes against her mouth, bites her lower lip. He justifies it as harmless.

His internal monologue reveals someone homeschooled, isolated, who lost his virginity once at twenty-three and has never experienced attraction until this woman. The obsession is total, consuming, and entirely hidden behind the charm of a thoughtful assistant.

Lucy Dies, Meds Flushed

A teenage patient's death and a friend's warning shatter his last restraint

Lucy,10 a fifteen-year-old cancer patient Tobias2 has spent months reading to and sitting beside, codes while he's with Aria1 in a basement closet. He races upstairs. It's too late. The loss guts him in ways he can barely articulate.

Meanwhile, Gabriella4 has learned from Justin5 Tobias's2 only friend and the other assistant that Tobias2 takes heavy psychiatric medication. She corners him privately and tells him he isn't good enough for Aria,1 that he should end things before he ruins her life.

Rather than complying, Tobias2 flushes every pill five different medications regulating his psychosis, anxiety, and dissociative episodes. Without them, he believes he can prove himself worthy. Without them, the architecture holding his fractured mind together begins to buckle.

Gone Without Goodbye

Aria flies home to Scotland and blocks his number forever

After one final night at Tobias's2 apartment their first full intercourse, his hands shaking with nerves the entire time, his admission that he's only ever slept with one person Aria1 leaves while he sleeps. She writes a note saying she'll reach out if she ever visits again. At the airport, her phone floods with frantic messages and missed calls.

His texts grow desperate, pleading, asking what he did wrong. Gabriella4 has already ended things cleanly with Justin,5 but Tobias2 cannot process the same message. Aria1 reads his words, feels the pull, and blocks his number. Back in Scotland, she dyes her hair brown because he loved her blonde. She calls Ewan3 to arrange seeing Jason.8 The void feels enormous, but she tells herself it was only sex.

The Uninvited Audience Member

Tobias crosses an ocean and claims to be her boyfriend

Weeks later, Aria1 stands before hundreds of professionals delivering the biggest presentation of her career on rare genetic diseases. A hand rises in the back row. Tobias,2 in a fitted grey suit, stands and asks a question. The clicker drops from her fingers.

She stumbles through the rest and calls an early break. Backstage, he tells her he missed her. She's furious but cannot deny the relief. He follows her home. When Ewan3 arrives to fix her broken washer, Tobias2 introduces himself as Aria's1 boyfriend and threatens him to leave.

Ewan3 goes, devastated. Later, mid-argument about boundaries, Tobias2 collapses a seizure, the first in years, triggered by months without medication. Aria1 cares for him through it. Despite everything, they fall back into bed.

Clozapine in Every Bottle

Tobias secretly poisons Aria's drinks with his own antipsychotics

Tobias2 hasn't returned to America. He's rented a nearby apartment and installed hidden cameras throughout Aria's1 home. While she believes he's across the ocean, he watches through live footage and coats every bottle she buys wine, water, milk, coffee with Clozapine, a powerful antipsychotic from his own prescription.

He convinces her to delete social media, to stop going out, to prioritize their video calls over everything else. She complies, drinking more to cope with his supposed absence, unaware each glass accelerates her deterioration.

She misses work shifts, forgets to pick up Jason8 from school, and argues with Gabriella4 until her best friend4 moves out. The woman who once commanded conference rooms now slurs her words and stares blankly at walls.

Chimes Only She Hears

Psychotic hallucinations drive Aria barefoot through freezing streets

Aria's1 mother storms her filthy apartment and finds her gaunt, reeking of alcohol. When Aria1 grabs her wrist and calls Ewan3 a threat parroting words Tobias2 has drilled into her her mother recoils. Something has broken inside.

Aria1 flees barefoot through November rain to Ewan's3 house, convinced Jason8 is in danger. She arrives muddy, bleeding from glass in her feet, and collapses in front of his ten-year-old son.8 Ewan3 wraps her in towels, bandages her palm, puts her to bed.

When she secretly calls Tobias,2 he insists Ewan3 drugged her water. He tells her to run. She obeys, sprinting into the road and nearly getting hit by a car before blacking out. Persistent chiming sounds and strobe lights plague her vision hallucinations no one else can perceive.

Pregnant and Poisoned

Doctors find antipsychotics she was never prescribed and a heartbeat

Gabriella4 and Aria's1 father bring her to the emergency room, where she vomits, hallucinates fairground rides, and screams when nurses try to insert an IV. Sedated, she sleeps for over twenty-four hours.

The doctor delivers the findings: dangerously high levels of Clozapine an antipsychotic she was never prescribed are coursing through her system. Her blood pressure has bottomed out. And she's pregnant. Ewan,3 who has stayed at her bedside the entire time, takes her hand as the news lands.

The pieces click: Tobias2 takes Clozapine for his own psychiatric conditions. He laced her drinks with it. The medication likely interfered with her birth control, resulting in pregnancy. Aria1 hugs her knees and whispers that she's scared. Ewan3 promises he isn't going anywhere.

Seduction as Escape Plan

Aria kisses Tobias to steal her phone from his pocket

Against everyone's pleas, Aria1 sneaks out of the hospital to meet Tobias2 at an underpass. He's apologetic, desperate, planning their escape to Ireland by boat. He confiscates her phone and drives her to a remote hotel decorated with roses.

She knows she needs to retrieve the phone from his back pocket to text Gabriella4 their location. So she initiates intimacy, kissing him, pulling off his clothes, working him onto his back. She slides the phone free and locks herself in the bathroom, sobbing silently as she texts the coordinates to her best friend.4

Police storm the hotel within the hour. Tobias2 fights them viciously, shielding Aria1 with his body, believing they've come for her. As he's dragged away in chains, Gabriella4 shouts about the baby and Tobias2 learns he'll be a father.

Two Dead Behind Bars

Tobias strangles his cellmate and snaps a guard's neck to escape

In custody, Tobias2 processes the revelation: his doctor1 is carrying his child. The emptiness he feels frightens even him. His cellmate's Scottish accent triggers something images of Ewan,3 of Aria1 choosing someone else and his fingers close around the man's throat until the pulse stops.

An hour passes. The body cools at his feet. When a guard unlocks the cell to investigate, Tobias2 grabs him from behind and twists until the neck cracks. He's overpowered before he can flee. Headlines explode across Scottish and American news.

Tobias's2 mother, Violetta,6 releases statements pleading for her son's mental health to be recognized. At a preliminary hearing, Tobias2 screams Aria's1 name from shackles, threatens to kill Ewan,3 and headbutts an officer. A plea of insanity is entered.

Blood in the Snow

Tobias escapes custody, saves Aria, then his friend stabs her

Justin5 bribes a facility worker to spring Tobias2 during his custody transfer. Tobias2 calls Aria1 and begs her to come to a remote cabin in the Scottish highlands. She drives through blinding snow despite every warning.

The corrupt worker ambushes her outside, kicking her repeatedly while she shields her pregnant belly. Tobias2 emerges from the darkness and buries the man's own blade in his chest. Inside the cabin, tenderness and menace alternate by the minute he names their unborn children Kade and Luciella, then dissociates entirely and insists she isn't Aria,1 that someone has replaced the woman he loves.

When Justin5 arrives, Tobias2 tells him to kill the impostor. Justin5 drives a knife into her side above her hip. Sirens approach. Both men vanish. Aria1 bleeds alone.

The Caravan by the Sea

Carrying twins, Aria tells Ewan she never stopped loving him

Recovering from Justin's5 blade and reeling from the ultrasound that revealed twins, not one child Aria1 retreats to a seaside caravan with Ewan3 and Jason.8 They play board games badly. They skip stones on the beach.

Jason8 whispers to her barely visible bump and announces the twins will be his best friends. In the quiet kitchen after Jason8 falls asleep, Ewan3 stands between Aria's1 legs and nearly kisses her, then pulls away he refuses to be the man she retreats from when the obsession resurfaces.

That night, lying face to face in the dark, Aria1 tells him she has never stopped loving him. He presses his lips to hers for the first time in months soft, careful, finite. He promises to raise the twins alongside her regardless of what happens between them.

Noose and Gas Valve

Tobias rigs her apartment for death, then cages her loved ones

Aria1 returns from the caravan to find Tobias2 standing in her bedroom. He has knotted two cables into nooses over the curtain rod and tells her she can go first, or they'll die together. When she screams about their babies' right to live, he turns on the gas instead. She stuffs a wet towel under the bathroom door, hears the lighter flick, and bolts.

At her car, he drags her out by the hair and forces her into the trunk. He drives to an abandoned animal shelter where Justin5 and Violetta6 Tobias's2 mother wait beside a tableau of horror: Gabriella4 and a man named Kaleb,11 a college fling Tobias2 tracked down for once hurting Aria,1 caged in dog kennels with IV drips sedating them. Ewan3 is being brought next.

The Hammer and the Blade

Justin bludgeons Gabriella; Aria plunges a knife into his neck

Tobias2 slashes Kaleb's11 throat to demonstrate his seriousness, drenching Aria1 in arterial blood. When she still won't agree to leave, Justin5 drags Gabriella4 from her cage. Gabriella4 looks at Aria1 and tells her to be strong, to raise the twins, to never find someone funnier.

Justin5 brings a hammer down on her skull five times. Aria1 seizes the fallen blade and drives it into Justin's5 neck again and again until he stops moving. A hand touches her shoulder from behind; she spins and buries the knife into Ewan's3 side, thinking he's Tobias.2

To save them both Ewan3 bleeding out, Gabriella4 barely breathing Aria1 makes a deal with the devil: she will leave with Tobias2 forever if he calls an ambulance immediately. He agrees. She kisses Ewan3 goodbye and walks away.

Three Words at the Edge

Tobias begs Aria to say she hates him before he jumps

Police surround them on a coastal cliff, dogs barking through snowfall, searchlights carving the dark. Tobias2 backs toward the edge and asks Aria1 to say she wants him dead to give him permission to fall. He says Ewan3 should raise the twins, that he'll only break their hearts the way his own father broke his. He tells her where money is buried for the children and asks her to promise they'll know the real version of him.

She refuses to condemn him. Instead, she tells him she loves him. He freezes, repeating her words to himself as though tasting something impossible. He thanks her for loving him. Then he throws himself backward and officers intercept him before he clears the edge. He stops fighting. The cuffs close. It's over.

Epilogue

Five years later, Aria1 accepts a scientific medal before a packed auditorium. Ivy Dermot,9 now thirteen and walking on leg braces, delivers flowers to the stage. Ewan3 and Jason,8 now sixteen, sit in the front row. Aria1 dedicates the award to Gabriella,4 who never recovered from her injuries.

Weeks later, she brings the twins Kade, dark-haired and dimpled like his father,2 and Luciella, blonde and bright-eyed to their first supervised visit with Tobias2 at his mental institution. He is healthy, medicated, diminished. He holds them both and weeps.

He tells Aria1 to marry Ewan.3 He warns her that Kade may need watching an echo of his own father's legacy. As the hour ends, he promises he's still coming for her when he gets out, because she is his. Aria1 does not argue. She simply smiles and walks away.

Analysis

This novel interrogates the neurochemistry of love itself whether the desperate attachment Aria1 feels toward Tobias2 is meaningfully different from the drug-induced psychosis he inflicts on her. Both produce identical symptoms: obsessive thinking, impaired judgment, inability to separate from the source. Rivers deliberately blurs the line between natural bonding and pharmaceutical manipulation, suggesting that what we romantically call 'falling in love' and what clinicians call 'dangerous fixation' may share more neural territory than anyone wants to admit.

The dual unreliable narration is the novel's most sophisticated structural device. Tobias's2 chapters reveal not a man without feelings but one whose feelings are so intense they cannot be metabolized through normal channels they curdle into surveillance, possession, violence. His love is not counterfeit; it is unprocessed, like an immune system attacking its own body. Meanwhile, Aria's1 narration becomes progressively less trustworthy as Clozapine erodes her perception, forcing readers to experience the same cognitive betrayal she does: which of her thoughts are organic? Which were chemically planted?

The Ewan3 subplot functions as a controlled experiment in alternative love. Here is devotion that manifests as bandaging glass from someone's palm, as sleeping upright in a hospital chair, as offering to raise another man's children. It is love expressed through infrastructure rather than intensity. The novel does not argue that Ewan's3 love is categorically superior Aria1 craves Tobias2 precisely because steadiness cannot reach the primal registers that danger activates. Instead, it argues that craving is not the same as needing, and that the most dangerous lie we tell ourselves is that passion constitutes evidence of depth.

The ending refuses conventional catharsis. Tobias2 is institutionalized, not reformed. Gabriella4 is dead. Aria1 wins professional acclaim but carries permanent scars. The twins may inherit their father's2 fractured neurology. Ivy9 walking on braces the patient Aria1 saved while losing herself provides the only unambiguous victory. Love, the novel concludes, is not a cure. It is a condition requiring lifelong management, much like the psychiatric disorders that drive its darkest expression.

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Review Summary

4.22 out of 5
Average of 32k+ ratings from Goodreads and Amazon.

Psychotic Obsession received mixed reviews, with ratings ranging from 2 to 5 stars. Many readers found the book emotionally intense and gripping, praising the author's portrayal of complex characters and toxic relationships. However, some felt disappointed by the lack of character development and overemphasis on physical attraction. The non-HEA ending was polarizing, with some appreciating its realism while others felt unsatisfied. Tobias and Aria's relationship sparked debate, with readers divided on whether it was a tragic love story or merely lust-driven obsession.

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Characters

Aria Miller

Scientist ensnared by obsession

A twenty-seven-year-old Scottish-raised clinical scientist who grew up in California before relocating as a teenager. She combines fierce professional ambition—fighting for children with rare diseases—with a deeply empathetic nature that renders her vulnerable to emotional manipulation. Aria's core wound is a need to be needed: she raised her ex's3 son as her own, bonds too closely with patients, and cannot walk away from someone who appears to suffer. This savior instinct becomes her greatest liability when directed at someone genuinely dangerous. She oscillates between intellectual clarity and emotional submission, often recognizing manipulation intellectually while her heart refuses to comply. Her relationship with a cold, critical mother has left her starved for validation, which both her lovers exploit in vastly different ways.

Tobias Mitchell

The obsessive, fractured lover

A twenty-six-year-old hospital assistant whose charming exterior—blue eyes, dimples, charity bands on his wrists—conceals a mind fractured by psychiatric conditions inherited from his father, who died by suicide. Homeschooled and socially isolated, Tobias has never experienced attraction before Aria1. His obsessive personality, once directed at toy cars and charitable causes, fixates on her with consuming totality. He compartmentalizes emotions the way his father taught him, creating internal partitions that splinter under stress into something resembling dissociative identity. He is simultaneously the most attentive partner Aria1 has ever known and the most dangerous person she has ever encountered. His love is genuine within the limits of his cognition—he simply cannot distinguish between devotion and destruction, between protection and possession.

Ewan McElroy

The patient, loyal ex-boyfriend

Aria's1 ex-boyfriend of ten years, a Scottish construction worker and single father to Jason8. Ewan cheated once as a teenager and lied about it for years—the betrayal that ended their relationship. Beneath rough tattoos and rigger boots lives a man defined by quiet loyalty: he bandages Aria's1 wounds, sleeps upright in hospital chairs, confronts anyone who threatens her, and never stops showing up despite being repeatedly pushed away. Ewan represents the love Aria1 keeps undervaluing—unglamorous, patient, built from shared pasta recipes and school runs rather than grand gestures. His deepest fear is inadequacy: he believes Aria1 deserves better than a construction worker with a shameful past. He is wrong, and the narrative slowly teaches him this.

Gabriella McGhee

Fierce best friend and voice of reason

Aria's1 best friend and roommate, a fellow scientist who is outgoing, protective, and brutally honest. Gabriella is the first to recognize Tobias's2 danger and the last to abandon Aria's1 side. She serves as Aria's1 conscience, professional backbone, and emotional anchor—the person who slaps sense into her, literally and figuratively, when the world distorts around her. Her loyalty is absolute, expressed through equal parts tough love and desperate intervention.

Justin Lapsley

Tobias's amoral enabler

Tobias's2 only friend, met during a group therapy session at eighteen. Justin is a manipulative opportunist who drugs women, lies casually, and treats violence as entertainment. He serves as Tobias's2 amplifier—the person who normalizes his worst impulses while hiding behind crude humor and false camaraderie. He is loyal to Tobias2 in the way a parasite is loyal to its host, latching on for proximity to power and privilege.

Violetta Mitchell

Tobias's torn, complicit mother

Tobias's2 mother, who remarried wealthy Doctor Blythe7 after her first husband's suicide. Violetta has spent decades managing her son's mental illness through overprotection rather than genuine treatment. She is caught between maternal devotion and the knowledge that her son is genuinely dangerous—a tension that drives her to make increasingly compromising choices in the name of keeping him alive.

Dr. Blythe

Tobias's controlling stepfather

Tobias's2 stepfather and the hospital's president, who secured Tobias's2 position. A controlling figure who monitors Tobias's2 behavior but maintains a strained, adversarial relationship with his stepson.

Jason McElroy

Ewan's adoring young son

Ewan's3 ten-year-old son, raised by Aria1 since infancy despite no biological connection. Innocent and fiercely attached to Aria1, Jason represents the stable family life she risks losing through her entanglement with Tobias2. His unconditional love serves as both Aria's1 anchor and her deepest source of guilt when she begins to disappear from his daily life.

Ivy Dermot

Aria's young patient

An eight-year-old patient with an undiagnosed degenerative illness, wheelchair-bound and deteriorating. She is Aria's1 primary case and professional motivation, representing everything worth fighting for beyond the toxic relationship.

Lucy

Dying teen Tobias befriends

A fifteen-year-old cancer patient at the Florida hospital whom Tobias2 bonds with deeply—reading to her, watching shows, wearing a charity band in her name. Her fate becomes a pivotal catalyst for his psychological trajectory.

Kaleb

Aria's former college fling

A man Aria1 briefly slept with in college who lied about having a girlfriend. A negligible figure in Aria's1 past whose existence enrages Tobias2 disproportionately.

Plot Devices

Clozapine

Weapon of psychological destruction

Clozapine is Tobias's2 own prescription antipsychotic—one of the strongest available, reserved for treatment-resistant psychosis. He coats Aria's1 wine, water, milk, and coffee with the drug while she believes he's in another country, monitoring her through hidden cameras as she deteriorates. Combined with heavy alcohol consumption, the medication induces hallucinations: persistent chiming sounds, strobe lights, dissociative episodes where she sees Ewan's3 face on Tobias's2 body. It replicates the symptoms of the very disorders it was designed to treat, making Aria1 appear mentally ill rather than poisoned. The drug likely interfered with her birth control, resulting in pregnancy. Its discovery in her bloodwork becomes the revelation that exposes the full scope of Tobias's2 manipulation.

Hidden Cameras

Invisible cage of surveillance

After Aria1 returns to Scotland and blocks his number, Tobias2 rents a nearby apartment and installs hidden cameras throughout her home. He watches her routines through live footage—her drinking, her deterioration, her conversations with Ewan3—while she believes he's thousands of miles away. The cameras allow him to time the drugging of her bottles with Clozapine when she's at work, to record their sexual encounters without consent, and to feed his jealousy in real time. They represent the invisible prison Tobias2 constructs around Aria1: she senses his presence without understanding why, her paranoia entirely justified by a surveillance system she never discovers. The cameras also enable his darkest violation—watching her sleep became his first addiction, and the technology simply scaled it.

The Investigation Dossier

Stalking disguised as research

Within days of meeting Aria1, Tobias2 pays an outside contact to compile a comprehensive file on her life: birthdate, address, car registration, birth control prescription, romantic history, and family finances. He frames this to himself as simple curiosity, but the dossier becomes the foundation of his control—he knows she's on the pill before she mentions it, knows about Ewan3 before she reveals him, and engineers conversations using information she never volunteered. The dossier establishes the power imbalance that defines their entire relationship: Aria1 believes they are discovering each other organically, while Tobias2 is working from a script he commissioned. Every 'coincidence' in their early courtship is manufactured intimacy.

Ivy Dermot's Case

Aria's professional redemption arc

Ivy's9 rare illness bookends the entire narrative. Aria's1 fight to get the eight-year-old into clinical trials brings her to the Florida hospital where she meets Tobias2, and the case's eventual acceptance into Danish trials becomes the professional triumph that survives the personal catastrophe. While Aria's1 life spirals—missing appointments, drinking at work, getting placed on leave—Ivy's9 case continues advancing through the efforts of colleagues who pick up where Aria1 faltered. The case serves as both mirror and counterweight to the Tobias2 storyline: where obsessive love destroys, obsessive dedication to a patient saves. Ivy's9 progress anchors Aria's1 sense of purpose whenever Tobias2 threatens to consume it entirely.

The 'Doctor' Pet Name

Barometer of Tobias's mental state

Tobias2 persistently calls Aria1 'Doctor' despite her being a clinical scientist, not a physician. What begins as a workplace tease becomes a loaded signifier tracking their entire relationship. In tender moments, it's affectionate—a private joke that makes her roll her eyes. During sex, it signals dominance. When Tobias2 dissociates and stops recognizing Aria1 as herself, 'Doctor' becomes the name he uses for the woman he believes has replaced his lover—a separate entity inhabiting her body. The shift from 'Aria' to 'Doctor' in his speech becomes a diagnostic tool for the reader, indicating which version of Tobias2 is present. Aria's1 irritation at the name transforms into arousal and eventually into a warning sign she learns to dread.

About the Author

Leigh Rivers is a Scottish Biomedical Scientist who has transitioned into writing dark romance novels. Her work focuses on morally ambiguous characters and emotionally charged storylines designed to captivate readers. Rivers balances her writing career with a variety of hobbies and interests, including pole dancing, going to the gym, and spending time with her family. She is also an avid reader and gamer. When not writing, Rivers enjoys walking her four dogs with her husband and two sons, showcasing her ability to juggle a successful writing career with an active family life.

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