Choices is a series of short essays, each two or three pages long, each illustrating a point the author wants to make. Some are New Age-y: A woman closing her business is surprised when someone says, "I feel that I should speak to you..." Others are more straightforward and down-to-earth.
I couldn't relate to all -- even most -- of the stories here. If you haven't had the experience, the story is meaningless. Several involve getting tough about relationships.
Two essays were especially powerful: "She saw a monster in her bedroom" is about a woman who realizes she must leave to escape a "monster" husband -- at age seventy-one. Beattie concludes, "It's hard to be a newcomer at anything."
"He had to backtrack" is the story of a young delinquent who turns his life around after a gifted counselor roots out long-buried feelings.
I see each episode as a turning point rather than a choice: each time the protagonist hit bottom, his or her life changed. It's not always about choices: the delinquent doesn't face a crossroads.
I'd probably recommend this book to clients whose lives felt out of control, who wanted role models and examples of taking charge, or who wanted to understand the concept of change.
One negative: Each chapter ends with a small lesson that could be omitted. It's overkill. The book's power comes from the stories and the way Beattie tells them. The lessons themselves are not particularly new or original. Leave them out.