Slight soiling on the cover. As shown in images 8 and later, there are many handwritten notes. Other than that, there are no folds, but please refrain from purchasing if you are concerned. "The Art of Living Calmly: A Workbook for Eliminating Life's Worries, Taught by a Psychiatrist Who Has Experienced Depression" Psychiatrist Tomy Price: ¥1400 #PsychiatristTomy #Book #Society/General