Cyrus can't control himself, but to be more specific he can't control the many personalities inside of him. They're tearing him apart from his seams, literally.
Kenton Heights wasn't your ordinary town, the houses weren't nice, the streets were abandoned, tree's were never green. It was said to be a place for recovery; but it's residents viewed it more as a prison or concentration camp.
All those fancy doctors with the expensive cars, who just nodded at what you said, who deemed if you were sane or insane, sent the crazy ones here to live. Only under very special circumstances were you allowed to live in Kenton Heights if you weren't coded into the town. But Cyrus, he was sent here because of him and himselves, to attend school; with people just as crazy as him.
Photograph for the cover is of Corey Mathews (wtfcorey) from tumblr.