The residents of The Sound of Holding Your Breath could be neighbors, sharing the same familiar landscapes of twenty-first-century Appalachia--lake and forest, bridge and church, cemetery and garden, diner and hair salon. They could be your neighbors--average, workaday, each struggling with secrets and losses, entrenched in navigating the complex requirements of family in all its forms. Yet tragedy and violence challenge these unassuming lives: A teenage boy is drawn to his sister's husband, an EMT searching the lake for a body. A brother, a family, and a community fail to confront the implications of a missing girl. A pregnant widow spends Thanksgiving with her deceased husband's family. Siblings grapple with the death of their sister-in-law at the hands of their brother. And in the title story, the shame of rape ruptures more than a decade later. Accidents and deaths, cons and cover-ups, abuse and returning veterans--Natalie Sypolt's characters wrestle with who they are during the most trying situations of their lives.