The Silent Patient, by Alex Michaelides, 2019

Title: The Silent Patient

Author: Alex Michaelides

Publisher: Orion Books, Hachette

Genre: Thriller

Format: Paperback

Language: English

No. of pages: 339

Recommended for: All domestic thriller fans


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….

My review:

I received a review copy from the publishers in return for an honest review. Opinions expressed in this review are completely my own.

The Silent Patient had been in my TBR for a really long time. I had loved the premise and being a fan of domestic thrillers, this one topped my wishlist. As such, I was so grateful when Hachette wanted to send a copy my way! I ended up picking this book for the Reading Rush Challenge 2019, where I read it for the prompt – Read an author’s first book. It was a great decision by the way and I thoroughly enjoyed reading it. I finished it in under 24 hours (I forgot to clock my time) and then, recently, my mother also picked it up. I waited this long for the review, because I also wanted to include my mother’s perspective on the book.

In this book the author is talking about this enigmatic woman (atleast Theo Faber considers her enigmatic) who has allegedly killed her husband and gone silent. ‘Allegedly’ is a term I use loosely. There are some people who are convinced of her doings and there are still some left who believed that she is indeed innocent. I love the manner in which this book is written – it is very matter-of-fact I believe, and so you are bound to feel as if it is happening to real people you know. The addition of the personal drama in the lives of both the people, especially of the narrator Theo Faber, is a great touch as it gives a certain depth to the story.

This book is truly a page turner. As a reader, you are bound to just keep on reading and keep turning the pages on and on. Moreover, this is a really different type of a domestic thriller, I think. Because in most other books of this genre, we have an unreliable narrator, however, that is entirely not the case in this book. The narrator is Theo Faber, a forensic psychotherapist as opposed to some deranged wife, who is unreliable because of her mental health, or alcohol problems etc.

The themes of emotional trauma – both in their childhood as well as adult life is rife throughout. The human psyche is depicted wonderfully through a myriad of various characters.

The only problem I and my mother had, was that the time frame was not very clear to us. We thought that the way the two storylines (I am so not revealing anything! You need to pick up this book ASAP!) We carried out, was not enough to clear the doubts regarding the time frame surrounding the actions. We could not decipher the events from the time frame provided – whether they are happening simultaneously (which we felt was happening) or in the past or future.

However, we did enjoy the book and that twist was not really expected! I did hint at something like that but nonetheless, that twist had me close the book and sit for a while, shocked and wondering how the hell I did not see that coming.


We really enjoyed this book and rate this one a 4.5/5 stars!

About the author:

Born in Cyprus to a Greek-Cypriot father and English mother, I studied English literature at Cambridge University and got my MA in screenwriting at the American Film Institute in Los Angeles. I wrote the film The Devil You Know (2013) starring Rosamund Pike and co-wrote The Con is On (2018), starring Uma Thurman, Tim Roth, Parker Posey and Sofia Vergara. THE SILENT PATIENT is my first novel.

About the reviewer:

Nayanika Saikia, is one of the foremost book reviewers from the North-east and Assam, and is also an admin for the official India bookstagram page on Instagram. She publishes her own reviews and recommendations for poetry, fiction, non-fiction etc. on her bookstagram account @pretty_little_bibliophile which won the NorthEast Creator Awards 2018, as well as in daily newspapers, online magazines etc.  She can be contacted at .

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