When deciding on a title, I received information from the Brain and Tissue Bank of the University of Maryland saying their symbol was a butterfly. I have Dystonia, which is a neuro-muscular motor, movement disease (involving the brain, the muscles, and coordination). I am donating my brain to the Brain and Tissue Bank, so contemplated how my life could be compared to a butterfly's metamorphosis. A Butterfly's Metamorphosis: Life Story of Libby Karns is divided into three parts, or phases of a butterfly's life-cycle, as represented on the book's cover. There are 16 chapters, two hymns, and two of my poems. Some of the chapter titles are: A Life-changing Experience - Odessa (You get to take a trip with me!); Precocious? Shy? Insecure?; Storybook Characters; Dystonia?/Dystonia; and Useless? Useful?.