In the scoring of the music, Kitt creates tension with faster and higher pitched noises. Most of the time these sounds happen in the music when Diana seems to be mentally unstable. The first song clearly shows this in is Who's Crazy/My Psychopharmacologist and I. There are spiraling sounds and quick shifts of melodies. These reflect Diana's mental state; she is spiraling out of control mentally. The music usually goes to this format when Diana is on the edge is her sanity, and when she seem to be okay, the music calms down to a smoother or more normal format of music.
I also noticed the difference in songs at the beginning and at the end. The first song that includes the whole family is upbeat, but is still tense. It gives a feeling of holding back, like there is a burden that needs to be lifted. Then it comes to a point where their voices overlap and the music intensifies and suddenly stops, leaving the audience with an uneasy feeling with no resolution. This reflects their feelings about their issues at this point. In the end, Diana finally has a song where she is relaxed. She has to go through the steps of treatment to reach a more sane state. Comparing the beginning and ending songs, I feel that Diana has made good progress. And it shows in her last song. The music is more controlled and calm. It is slower, but it feels more positive than her other songs. It is a release for her, which Yorkey makes clear in the lyrics, “But I’ll be free…I’ll take a chance on leaving…it’s time for me to fly.”