The Silent Patient, by Alex Michaelides (Review)

The Silent Patient
by Alex Michaelides

Genre: Thriller, Mystery

Length: 336 Pages

Release date: February 5, 2019


Promising to be the debut novel of the season The Silent Patientis a shocking psychological thriller of a woman’s act of violence against her husband—and of the therapist obsessed with uncovering her motive…

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.

Alicia’s refusal to talk, or give any kind of explanation, turns a domestic tragedy into something far grander, a mystery that captures the public imagination and casts Alicia into notoriety. The price of her art skyrockets, and she, the silent patient, is hidden away from the tabloids and spotlight at the Grove, a secure forensic unit in North London.

Theo Faber is a criminal psychotherapist who has waited a long time for the opportunity to work with Alicia. His determination to get her to talk and unravel the mystery of why she shot her husband takes him down a twisting path into his own motivations—a search for the truth that threatens to consume him….



“…we often mistake love for fireworks – for drama and dysfunction. But real love is very quiet, very still. It’s boring, if seen from the perspective of high drama. Love is deep and calm – and constant.” 

This book was such a pleasant surprise for me. Some of you may have noticed I have a tendency to nitpick thrillers to death, and the mental health aspect of this one in particular had me a bit nervous. I’ve seen one too many horror stories which can basically be boiled down to “Aren’t crazy people super scary, guys?” This didn’t feel like that, and I’m grateful for that. So I’m glad I gave into the hype to give The Silent Patient a chance.

The novel alternates between Alicia Berenson’s diary entries from prior to her husband’s murder and Theo Faber’s perspective as he works with her as her psychotherapist, determined to get her to speak again. Both characters were incredibly intriguing and the pacing was perfect.

Michaelides did stunningly well (especially for a debut author!) at writing a really balanced book; there was enough action and suspense to make it compulsively readable, but the character development provided a sense of substance that can sometimes be missing from this genre. But by far the highlight of the book for me was the twist towards the end. It’s not too heavily foreshadowed, so it comes as a huge shock in the best way, and throws everything before it into a totally new light.

This review is a bit brief because I really feel like this is a good book to go into largely blind and just enjoy the ride. The Silent Patient gets five full stars from me! It’s such an impressive debut and I can’t wait to see what Michaelides writes next!

Purchase links

Amazon | Barnes & Noble | Book Depository | IndieBound

Thank you for reading! What thrillers have you enjoyed lately? Do you have a favorite novel with a huge twist ending? Let’s discuss in the comments!


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