Clickety Clack is Joy McDiarmid's self- portrait of bipolar mental illness and one of the most ambiguous sexual identities imaginable for a woman coming of age in the 1950s. Amidst gender and sexuality confusion, this Winnipeg woman began to look for romantic love and sexual fulfillment: sometimes wanting to dress as a man, sometimes as a woman, sometimes attracted to men, sometimes to women.

In candid accounts of this paralysing complexity, which McDiarmid tried valiantly to understand and express despite oppressive social stigmas and parental strictures, her insights...