A gruesome murder, a woman held captive in her own mind, and a therapist determined to unlock her secrets. THE SILENT PATIENT is a maze-like exploration of the psyches of both a woman convicted of murdering her husband and the therapist determined to treat her. Rather than investigating a crime, THE SILENT PATIENT investigates the mind of a criminal - and what a gripping investigation it is. THE SILENT PATIENT is immersive and hypnotic—the kind of confidently drawn suspense story that doesn’t need big, flashy twists to keep you hooked… but that delivers an exceptional twist or two anyway. Alicia Berenson’s life is seemingly perfect. She has her dream job, a decent work-life balance, and an attractive husband who adores her. No one could have guessed what was about to transpire. 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. Charged and convicted of the crime, She has been admitted to a psychiatric hospital known as the Grove, a forensic unit in North London. She has been charged with murdering her husband, Gabriel, after he returns home late one evening. Alicia was found at the scene of the crime with the gun, the blood, the body, and her wrists slit. After shooting Gabriel, Alicia has never spoken again.
Although Alicia does not speak, the reader gets
a glimpse into her life through Theo’s discussions with those in her life. Well, more to the point, we get their impressions of her, things they know about her and their own assumptions about her. The reader gets to learn even more about Alicia through her diary entries. Finally, Alicia “speaks” via the written word. But What could have led her to shoot her husband ? Will she ever speak ? Why isn’t she speaking now ? Is it by choice ? Is it due to trauma ? As he investigates, he discovers Secrets and Clues long left buried and forgotten about. With this new evidence, Alicia’s case doesn’t seem as cut and dry as it was originally made out to be. Could this silent patient actually be innocent ? 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 accepted a job at the Grove in the hopes of working with Alicia, he has waited a long time for this opportunity. He is obsessed with learning her motive. 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.... Theo finds himself drawn to Alicia’s story, determined to treat her and help her Find her Voice Again. He knows he can get her to talk. Others have tried – others have failed. Will he be successful ? “I became resolved to stop at nothing until Alicia became my patient. There was no time to waste : Alicia was lost. She was missing. And I intended to find her.”
Alicia is an enigma from the start. In the present,
she is a shadow of her previous self. But through her thoughts & memories, we begin to put flesh on her bones as we learn about her childhood & subsequent relationship with Gabriel. Friends & colleagues chime in with their observations & put a slightly different slant on her perfect life. Whatever your impression of her, one thing is clear…her voice may be lost but there is absolutely nothing wrong with her mind. Told from Theo’s perspective, the story at first seems merely timeline of a therapist’s attempts to bring a patient back to reality. Theo is ambitious, of course, and helping Alicia speak again would definitely be a coup to his career, but as the story progresses, it’s obvious there’s another reason behind his determination. We have sections mostly from Theo’s point of view as he tries to get Alicia to talk and then snippets from Alicia’s journal. This helps up piece together pieces of the puzzle from the past along with Theo talking to Alicia’s friends and family — almost like a detective. Interesting to learn that these actions aren’t recommended for psychotherapists, you are meant to just treat the patient. Theo is also an interesting character. Most of the novel is told through him. The reader also gets a glimpse into his life, his thoughts and the inner workings of his mind. I was curious as to why he was so obsessed with learning her motive. Why is he so driven to learn the truth ? Is he a fan or her artwork ? Will learning the truth advance his career ? For a character who is determined to unveil the secrets of his patient, Theo is, himself, quite hidden from the reader ; Michaelides adds yet another layer of mystery here, keeping readers hooked on the gradual unveiling of Theo’s secrets even as Alicia’s secrets are also coming into the light. And when the secrets at the heart of this novel are guaranteed to make your jaw hit the floor. There are many secondary characters that add depth to the story. Some pop-up briefly, several have recurring roles & others lurk in the background. Each brings something to the table, even in their absence. But make no mistake… This is the Alicia & Theo Show.
It’s up to Theo to carry the conversation during
their regular sessions. And initially he’s more than up for the task. It’s not just about the satisfaction of helping a damaged soul. He’s well aware his colleagues have tried & failed to reach Alicia. If he can get her to speak, it would mean validation of his abilities & a huge feather in his cap. As time goes by, we watch as he becomes obsessed with cracking his famous patient & desperation leads to questionable judgement on his part. You begin to wonder if its a quest for professional glory or a classic case of hubris. 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 accepted a job at the Grove in the hopes of working with Alicia, he has waited a long time for this opportunity. He is obsessed with learning her motive. 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.... Theo finds himself drawn to Alicia’s story, determined to treat her and help her Find her Voice Again. He knows he can get her to talk. Others have tried – others have failed. Will he be successful ? “I became resolved to stop at nothing until Alicia became my patient. There was no time to waste : Alicia was lost. She was missing. And I intended to find her.”
What begins as a mere mystery transforms into
a thriller delving into the psyches of patient and therapist. In a final climactic chapter, it is shockingly shown how alike their shared experiences are. The final reveal of THE SILENT PATIENT is worth the price of the book alone ; it was the most shocking and intelligently plotted reveal I’ve read in ages, and I’m a picky reader when it comes to reveals. And, the best part : even if you somehow do guess the final reveal of THE SILENT PATIENT, this book is so much more than just “twisty”—the twist is just the cherry on top of a book that is riveting in its own right. The Silent Patient by Alex Michaelides is a dark book, but a compelling mystery and powerful look at psychotherapy and the connection between a patient and a doctor. In spite of the strict bounds of ethics, it’s a strangely deep connection which takes somebody’s life into account ; and as Theo tries to fit the scattered puzzle pieces of Alicia’s life together, what he finds is totally unexpected. In spite of being vaguely far-fetched and over-dramatic at times, The Silent Patient by Alex Michaelides mostly carries a genuine, honest and realistic feature which makes it all-the-more gripping and engaging. From the opening pages I knew that I would read to the final page because I had to understand why Gabriel was snuffed in such convincing fashion. It’s one of those books where it’s best to go in blind. Although this is a first novel, the author has written screen plays & it definitely shows in the expert pacing & story telling. I can easily imagine this as a film. I had my suspicions about Gabriel’s death but the motive is only revealed near the end. And what an end it is. There’s something really satisfying about a character getting what they so karmically deserve.
THE SILENT PATIENT is an outstanding debut
crime novel that forges its own path, delivering intelligent character study and masterful plotting, all wrapped up in hypnotic writing from which you won’t want to tear yourself away. “I didn't kill Gabriel. Gabriel killed me. All I did was pull the trigger.” The Silent Patient dramatically proves no man is an island and whatever happens in one person’s life may in turn affect another, for better or worse. “You know, 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.”