BOOK REVIEW | BOOK RECOMMENDATION
The Silent Patient by Alex Michaelides
Have you ever read a murder mystery where the author tells you at the start who the murderer was? In “The Silent Patient,” it’s more a question of why than who. Maybe it’s a Whydunit.

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Introduction
I’ll tell you upfront that you will be shocked by the outcome. You won’t ask yourself, “How did I not see that coming?” — because you couldn’t have.
This was an excellent book that pulled me in immediately and then got even better as I read.
Alex Michaelides’ debut novel, “The Silent Patient,” took the world — and me — by storm. It captivated readers with its chilling story and intricate psychological exploration. The novel centers around the enigmatic Alicia Berenson, a successful painter who inexplicably shoots her husband dead — five times in the face — and then refuses to speak ever again.
Many would think this is a spoiler. Nuh-uh, this is all in the first few pages of the first chapter. It takes many twists and turns before the conclusion.
I have not been this tricked by a story since The Sixth Sense. I hope M. Night Shyamalan picks up the film adaptation because I’m sure it will happen.
Summary
Alicia’s silence becomes the central enigma driving the narrative. Theo Faber, a forensic psychotherapist, becomes fixated on her case, determined to unlock the secrets behind her silence and understand the events leading to the tragic incident. Through Theo’s perspective, we learn about Alicia’s past and examine her diary entries, offering glimpses into her inner world and the motivations behind her actions.
“An unforgettable — and Hollywood-bound — new thriller… A mix of Hitchcockian suspense, Agatha Christie plotting, and Greek tragedy.” — Entertainment Weekly.
“The Silent Patient is a shocking psychological thriller of a woman’s act of violence against her husband — and of the therapist obsessed with uncovering her motive.” — Amazon blurb.
Narration
The story is narrated in the third person, primarily through Theo’s perspective. This allows readers to experience the story through his lens, sharing his fascination and frustration as he tries to unravel the mystery.
The narrative also incorporates excerpts from Alicia’s diary, adding another layer of complexity and offering a glimpse into her thoughts and past experiences.
“Sometimes it’s hard to grasp why the answers to the present lie in the past.”―Alex Michaelides, The Silent Patient.
Setting
The novel is set in contemporary London, with the narrative primarily confined to the secure hospital where Alicia is being held and Theo’s memories. The sterile and controlled environment of the hospital contrasts with the vibrant world depicted in Alicia’s diary entries, highlighting the stark difference between her past and present reality.
“It was as if the words themselves had become a physical threat, and the act of speaking them, an unbearable risk.” — Alex Michaelides, The Silent Patient.
Theme
The Silent Patient explores themes of trauma, manipulation, and the complexities of the human psyche. It examines the power of the past, memory’s unreliable nature, and therapy’s ethical boundaries.
Genre
The Silent Patient falls squarely within the realm of psychological thrillers. The novel draws comparisons to works like Gillian Flynn’s “Gone Girl” and Paula Hawkins’s “The Girl on the Train,” sharing their ability to weave suspense and keep readers guessing until the very end.
“’Theo, one of the hardest things to admit is that we weren’t loved when we needed it most. It’s a terrible feeling, the pain of not being loved.’ She was right, of course.”― Alex Michaelides, The Silent Patient.
Author
Alex Michaelides is a British-Cypriot author. While his novels, “The Maidens” and “The Fury” received mixed reviews, The Silent Patient remains his most critically acclaimed work.
“Well, I’d rather be lonely than be with the wrong person.”―Alex Michaelides, The Silent Patient.
Plot (without spoilers)
The story follows Theo Faber, a forensic psychotherapist driven to understand why Alicia Berenson, a seemingly successful painter, murdered her husband and then refused to speak ever again. Through Theo’s investigation and excerpts from Alicia’s diary, the novel unfolds, revealing the complexities of their lives and the secrets buried within.
Book Recommendation
The Silent Patient is a captivating read for anyone who enjoys a well-crafted psychological thriller with a touch of mystery.
I’m sure you will enjoy this one. I raced through it in search of answers. Now, I’m reading it again more slowly. It’s amazing.
However, due to its exploration of mature themes (sexual content, drug use, and violence), it might not be suitable for younger audiences.
**THE INSTANT #1 NEW YORK TIMES BESTSELLER**
“Alicia Berenson’s life is seemingly perfect. A famous painter married to an in-demand fashion photographer; she lives in a grand house with big windows overlooking a park in one of London’s most desirable areas. One evening her husband Gabriel returns home late from a fashion shoot, and Alicia shoots him five times in the face, and then never speaks another word.” — Amazon blurb.
Of the 300,777 verified Amazon buyers who rated the book, 86% gave it four or five stars, with an overall rating of 4.4 stars.
Moreover, the 2,091,776 ratings on Goodreads gave it 4.2 out of 5 stars.
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Steve Dalton is a retired US Army First Sergeant with a degree in journalism from the University of Maryland. I am a Friend of Medium who reads a lot, and I tell my friends about what I’ve read. Also, a Top Writer in Bitcoin, Business, Investing, Nutrition, Travel, Fiction, Transportation, VR, NFL, Design, Creativity, and Short Story.
