I'm a bit awkward when it comes to playing Visual Novels because the genre is still new to me; however, I would highly recommend this to VN enthusiasts!
The disturbing imagery mixed with the realistic setting and characters scared me honestly because I have experienced the same internal struggle time-and-time again and I doubt I will ever truly feel "normal" or "sane". But, unlike my own confrontations, I was overjoyed to have achieved the 2nd ending because Cintia is the personification of the supportive, empathetic and caring friend some of us can only wish or dream of knowing someday.