When an accident upends their lives, fourteen-year-old Shiloh and her mother Ruth must leave their idyllic home to make a new life in the city. They find housing - through an evangelical church operating out of a strip mall - that backs onto the grounds of the abandoned Pacific Hospital for the Mind. Their lives begin to intersect with their new neighbours - Raymond, a handyman whose painful past is coming to a head; Dave, the disillusioned pastor looking for a new wife; and Madeleine, a 90-year-old former nurse who worked at the hospital and continues to make pilgrimages to the graves of the patients she once cared for. As Shiloh becomes involved with an undercurrent of teenagers who frequent the grounds of the ruined asylum, her rebellion and grief push her towards choices she can never take back.

With evocative, lyrical prose reminiscent of Emily Ruskovich and Marilynne Robinson, A Story Can Be Told About Pain is a profound meditation on care, grief, and survival, reveling in the beauty of language, finding solace in grief, and boldly confronting truth in order to heal.