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The Silent Patient
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The Silent Patient by Alex Michaelides - August 2024
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I absolutely blasted through this book. Once it got rolling I couldn’t put it down. It hooked me and I didn’t want to be let go. However, I still don’t feel good with the ending. It’s been a number of days and I just still don’t think I like the twist ending. It felt like too much. Like there were more realistic endings that would have been satisfying maybe? Not that I expect books to be realistic, but sometimes they just feel like too much. Or maybe there was a better way to tie back the twist? Some aspect that could have been better interpreted or explained? I don’t know what I would say a better ending would be, but what I got didn’t feel right. Or maybe that it was a little too forced? Because it definitely was a massive twist if I have ever read one!
Maybe it’s just that I am not seeing the value in some aspect or just need another point of view to pull me around to it, so I look forward to hearing what others think outside of the reviews!


My name is Samantha and I’ll be this month’s discussion leader for The Silent Patient. I am very excited to start this book. I will probably read a few chapters (listen to a few chapters) as I’m an Audible and Libby fan. I will then check in with you all of that works? Hope you all are having a great day!
I've been wanting to read this selection for a long time. I ordered it from my library but I am on the waiting list.

The silent patient is Alicia, who refuses to talk since she shot and killed her husband. Her psychotherapist, Theo, is so interested in Alicia that he managed to get a job at the hospital where she is now being kept, and then he managed to be assigned to her case.
Theo learns more and more about Alicia's life by means that are certainly unbelievable, i.e., by interviewing her friends and family in their homes and offices. At the same time, we also learn about Theo’s life.
So, unlike a psychological thriller, THE SILENT PATIENT is a study of these two characters. But this book is also not a psychological thriller because it contains no twists and turns, which I expect when I read a thriller, until nearly the end.
For a psychological thriller to be literary, as the best of them are, it is character-driven as well as plot-driven. But I would not say that of THE SILENT PATIENT. I will not give a book a high rating just because it finally grabs me near the end.
Give me more than character study, and grab me right from the start. That is what I require of a highly rated book.



Thoughts this far: I love the therapeutic point of view but I also have a BA in psych and work with mental health members daily. I find a lot of his perspectives very interesting.
I’m struggling to figure out who may have set Alicia up at this point as I don’t think she did this. I think it is very much like the Greek play she painted and is being silent due to the betrayal and anger she is feeling. However I don’t think she actually committed the crime.
Any other thoughts? People who haven’t read it to the end anyway?






This was a very interesting plot.
Theo wants to know why Alicia has stopped talking, even to defend herself on charges of murdering her husband.
There is a lot of silence in this book.
Gabriel, Alicia's husband, walks silently.
Many of Alicia's friends and relatives are silent when Theo questions them.
Alicia's silence in The Grove where she is receiving treatment is contradicted by her diary, which she slips to Theo at one point.
Theo himself is silent when he deals with his wife's infidelity.
Carl is silent when Alicia is moved to The Grove, despite having treated her privately.
Gabriel is told to be silent when tied to the chair before his murder.
Is silence a defense or an offense? Often is it used as both.
I was interested in the difference between
Carl West, the psychiatrist and
Theo, the psychotherapist.
I found these definitions:
psy·chi·a·trist
a medical practitioner specializing in the diagnosis and treatment of mental illness.
psy·cho·ther·a·pist
a person who treats mental disorders by psychological rather than medical means.
So any drugs would have been issued by Carl not Theo.
There is a very interesting twist at the end of this novel, that I did not see coming.
Delightful.
I borrowed a copy from the public library for two groups who are now reading this.




And at the end, I sat like a stunned mullet thinking, 'What the? That shouldn't have worked.' But it did. Beautifully.
The story is told mainly from Theo's point of view, with occasional flashbacks from Alicia and excerpts from her diary.
I didn't like the characters. None of them. Well, except for Ruth. I thought Alicia a nervous ninny, Theo pompous and self-righteous, and don't even get me started on the supporting cast.
But I couldn't put it down. And not once did I have any idea of the ending. Well done, Mr Michaelides.
💖💖💖💖💖

For those of you starting your reading journey, I’m so excited to see your thoughts ☺️

I haven't read many "thrillers" and this book, in my opinion, isn't very thrilling. I worked out the twist ending way before it occurred. That is a first for me. I liked some parts of this but mostly thought it was just OK. However, I think it might be a good pick for my in-person book club.
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Welcome to our discussion about The Silent Patient by Alex Michaelides, your discussion leader is Samantha.
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Summary
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....
The Silent Patient is a shocking psychological thriller of a woman’s act of violence against her husband—and of the therapist obsessed with uncovering her motive.