Posted in All Book Reviews

Nicely twisted: Review of The Silent Patient by Alex Michaelides

The Silent Patient (by Alex Michaelides) had been on my TBR pile for a while, and when I saw that it was in contention for Goodreads’ Choice Awards 2019 – Mystery and Thriller + Debut – I brought it up to the top and delved right in.

Does it meet the hype and expectations? Keep reading to find out.

Alex Michaelides The Silent Patient
Source: Goodreads


Mystery, Thriller


323 pages


Alicia Berenson was a famous painter, happily married to Gabriel Berenson, an equally famous fashion photographer. Until the day that she shot her husband five times in the face. Since that fateful day, six years ago, Alicia hasn’t spoken a word. The silence turns the crime into a sensational mystery, and Alicia becomes one of the most intriguing cases for criminal psychotherapists around the country. Theo Faber believes he can be the one that gets her to speak up, to reveal what happened that night, and to save her. But soon he finds that the case begins to reveal his own demons, long since buried. Theo may or may not save Alicia; but can he save himself?

Overall Rating:

7 out of 10


8 out of 10


8 out of 10

Primary Element:

9 out of 10 for its mystery; 6 out of 10 for its thrill

Writing Style:

8 out of 10

Part of a Series: 


Highlighted Takeaway:

The major plot twists. You’d expect twists from a mystery/thriller, but you do not see these coming in the least.

What I Liked:

The book begins similar to Tell Me A Secret by Samantha Hayes (review here). It also has a bit of the, “I know I’m a psychotherapist but…” justification that Hayes’ book had in abundance. I had really disliked Tell Me A Secret and that justification. But, The Silent Patient does not use those words as a justification. Neither does it go down the self-pity path you’d expect from the first few pages. It actually walks that fine line between justification and self-awareness really well, and that aspect contributes to the story rather than giving an excuse for it. As it turns out, done well, that kind of first-person and self-aware narrative can add great perspective to a story, as it does for The Silent Patient.

What I Didn’t Like:

Nothing that would actively dissuade you from reading the book.

Who Should Read It:

Anyone who enjoys a good mystery.

Who Should Avoid:

Anyone who doesn’t enjoy books based on psychotherapy and psychoanalysis.

Read It For:

An interesting mystery with an unexpected plot twist. The Silent Patient is a good read that moves fast and has some really intriguing angles; it’s just not a read that I would classify as, “Oh my God, this is the best thing ever written!” If you enjoy mystery and thrillers, though, go for it. And I have to mention here that, at no point, does it seem like a debut novel. I would definitely read more works by Alex Michaelides.

Got something to add about The Silent Patient? Drop a comment below. And, as always, thanks for stopping by and taking the time to read my review! 🙂

– Rishika


Author and Book Lover

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