In a spectacular execution of every librarian's nightmare Thomas Birdsey (Mark Ruffalo) has a psychotic break in the Three Rivers Public Library as he wields a carving knife and then cuts off his own hand. The aftermath leaves his twin brother Dominick (also played by Ruffalo) to navigate the mental health care system, social workers, doctors, and family, as well as the break down of his own personal life.
The six-part mini series tells the story of the two brothers and the abuse they suffered, their regrets, and their troubled relationship with each through a series of flashbacks narrated by Dominick.
This series was based on the book by the same name by Wally Lamb. Although I had not read this work, I have read several of his other novels: She's Come Undone; I'll Take You There; and We are Water (which also takes place in the fictitious Three Rivers, Connecticut).