A memoir of drug and alcohol abuse and the rehabilitation experience examines addiction and recovery through the eyes of a man who had taken his addictions to deadly extremes, describing the battle to confront the consequences of his life.

In response to allegations published in The Smoking Gun Web site that the author had fabricated many of the facts and experiences described in the book, later printings include an insert in which the publisher states that "Memoir is a personal history whose aim is to illuminate, by way of example, events and issues of broader social consequence. By definition, it is highly personal. In the case of Mr. Frey, we decided 'A Million Little Pieces' was his story, told in his own way, and he represented to us that his version of events was true to his recollections. Recent accusations against him notwithstanding, the power of the overall reading experience is such that the book remains a deeply inspiring and redemptive story for millions of readers."