The book was adapted into the ABC/Disney+ sitcom Not Dead Yet, starring Gina Rodriguez.

Some reviewers noted the book has a very specific "middle-class British" perspective that may not resonate with everyone.

To cope, Nell starts an anonymous podcast about her life, which unexpectedly goes viral as other women relate to her messy reality.

Extremely high; many readers feel like the book "spoke to their soul" or felt like "Bridget Jones for our times".

Critics note the book serves as a "biting social satire" on how society views women's success and the toxicity of social media comparison. 📺 Television Adaptation: Not Dead Yet

At over 500 pages, some readers felt the first book was a bit long, though the sequel, More Confessions of a Forty-Something F**k Up , is often praised as a faster-paced follow-up.