It seems that a main theme in The Queen of New Beginnings by Erica James is insanity and how that links to the art of pretending.
Alice retreats into her mind's eye to live the life that she wants, but is a perfectly reasonable woman on the outside.
Clayton (Mr. Shannon) is overly judged and ridiculed for his mysterious outburst and labeled insane, in need of help.
Alice's parents, during her family flashbacks, are depicted as completely insane, over emotional, and over reacting. Obviously unstable.
Yet, Alice's parents are the only ones in the novel who don't pretend to be someone they aren't. And when Clayton stops pretending is when the gauntlet of insanity is thrown at him. Thus the link between sanity and pretending, and the pairing of insanity with the reality of identity.
Could insanity really be interpreted as letting your true self show one hundred percent of the time? The flaws in the theory are many, yet it holds quite a bit of depth.