The Silent Patient by Alex Michaelides

The Silent Patient

by Alex Michaelides

WITH OVER THREE MILLION COPIES SOLD, read the Sunday Times and No.1 New York Times bestselling, record-breaking thriller that everyone is talking about - soon to be a major film.

'The perfect thriller' AJ FINN

'Terrific' - THE TIMES Crime Book of the Month

'Smart, sophisticated suspense' - LEE CHILD

'Compelling' - OBSERVER

'Absolutely brilliant' - STEPHEN FRY

'A totally original psychological mystery' - DAVID BALDACCI

'One of the best thrillers I've read this year' - CARA HUNTER

'The pace and finesse of a master' - BBC CULTURE


Alicia Berenson lived a seemingly perfect life until one day six years ago.

When she shot her husband in the head five times.

Since then she hasn't spoken a single word.

It's time to find out why.


THE SILENT PATIENT is the gripping must-read debut thriller of 2020 - perfect for fans of THE WOMAN IN THE WINDOW by A.J. Finn and THE GIRL BEFORE by JP Delaney.

Reviewed by ibeforem on

4 of 5 stars

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Alicia Berenson is a successful artist who seems to have it all until one day she's found standing over the body of her dead husband, presumably after she's shot him in the face. Except no one really knows what's happened, because Alicia hasn't said a word since that day.

Theo Faber is a psychotherapist who is intrigued by Alicia and her story and determined to find a way to try treating her. He is able to get a job at the facility where she's being held and is soon one of her therapists, though the others at the facility don't always agree with his methods. Theo is determined to crack through Alicia's veneer and find out what's going on in her head and why she killed her husband.

I had mixed feelings about this book almost all the way through, wondering where it was going, and then I got smacked in the face by the twist. Michaelides makes great use of Alicia's journals to show us what was happening with her in the days before her husband's death, even if you're not sure you should trust what she's saying. When I got to the ending, every puzzle piece fell into place, much to my surprise. It's pretty unusual for me to be taken completely by surprise like that -- I literally was thinking "I wonder if..." as I was reading the sentence that revealed all.

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Reading updates

  • Started reading
  • 6 December, 2019: Finished reading
  • 6 December, 2019: Reviewed