The Silent Patient

The Silent Patient by Alex Michaelides Book Summary


"An unforgettable—and Hollywood-bound—new thriller... A mix of Hitchcockian suspense, Agatha Christie plotting, and Greek tragedy."
Entertainment Weekly

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.

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 by Alex Michaelides Book Reviews

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A fun read with a hit over the head I didn’t see coming.

Would’ve never predicted that ending. My jaw was on the floor!!! DO NOT LISTEN TO ANY LOW RATINGS! THIS BOOK IS TOO GOOD TO IGNORE!!!!

I can’t believe some of the lower rating people gave this book. It could be considered slow in the beginning but that’s the point. It’s a test of your patience to build up that shock factor in the end. I became engulfed in the story from the moment I started reading. An absolute page turner and I’m even on the brink of reading it twice. Bc I’m sure no matter how studious I thought I was the first read through I’m sure I could start aligning things better going through a second time. 5 stars and 6 stars if that was an option!


It kept you on your toes.

One of my favorite books, has the best plot twist.

WOW. Thats all i gotta Say. What an Amazing story

This is a book you need to read relatively quick and not take breaks because it will take away from the shock factor.

Wow this book had me thinking in a completely different direction!! And then slapped me across the face with such shock. Amazingly written, I was hooked from the beginning. I absolutely loved it!! A must read!

For me it took almost half the book for things to pick up, so a little slow in the beginning but about halfway it gets pretty good!

A little slow in the beginning but if you can make it through you don't regret it! Great plot twists till the very last page.

It was extremely slow moving and the climax was quite disappointing.

What a plot twist.. such a great read. Definitely recommend to friends who love a mystery, with some drama and a great twist at the end. Very well written.

This is the second time I read this book! At each step I thought how the ending would happen and twice was was surprised! A must read!

Great ending….just slow reading for a majority of the book.

I really enjoyed this book it keeps you guessing until the end. The story is laid out in such a way that it gives you bits and pieces at a time. Then gives you an ending you don’t see coming, love it.

Plot holes you could drive a truck through. Predictable ending.

It takes me a while to finish a book. Well this is the first one that took me four days to finish, which for me that is REALLY good. Couldn’t stop reading it.

I truly couldn’t put this book down. The twist really was so unexpected. There were a few plot holes that I would have loved to flush out, but overall it was an incredible read. Haven’t stopped thinking about it!

Interesting writing! It made me stop and think more than a few times. The only time I set it down was to think about the ending.

The TWIST. YOU. WILL NEVER. SEE COMING. I am so done. In the best way. What a great read.

This is AMAZING it has a giant plot twist at the end it is definitely worth the wait

This is the first book I stayed up until 5 am reading. It drags on a little in the beginning but picks up and has a INSANE twist. Worth the read!!

Perhaps I only saw it coming because I’d read similar books already such as “The Wife Between Us” but unfortunately I saw the very hyped up plot twist coming. Nonetheless, I wouldn’t say it “ruined” the story for me. I quite enjoyed getting into the minds of Alicia and Theo. I find Theo a particularly interesting character. And it was very enjoyable reading a story where almost all of the dialogue was completely one-sided. The fact that Alicia doesn’t talk and yet we can still get to know so much about her firsthand through her nonverbal language and Theo’s psychoanalysis of her is proof of the author’s talent and makes for a fascinating story. I also really loved how the author took inspiration from Greek mythology and incorporated it perfectly into the plot in a way that felt so natural. A good read that kept me moving through the story and didn’t at all feel like a waste of time even though I knew what was coming.

Honestly it was hard to follow. The hype made me read it and it was not that good. The only reason I kept reading was because I wanted to see what happened, but the ending was just a mess.

i read this book for six hours straight on my day off it was so good.

Perfect mystery thriller from start to finish!

This was one of the best suspenseful thrillers I have ever read. Just when you think you got it figured it out, it takes you completely by surprise. Great ending. I highly recommend for those who enjoy suspenseful thrillers

A page turner. I could not put it down.

I couldn’t stop reading it, the plot was perfectly made and the twists and suspense it had, I definitely recommend reading it

Superb novel with an unpredictable ending.

Captivating all the way through!

I enjoyed this book. It flows well and ended differently than I thought, which is always a nice surprise. I would read more from this author.

Fantastic book!!!! Read in 6 hours!

I love mysteries & this is one of the best I’ve read in awhile! Definitely recommend!

What a twist towards the end that I didn’t see coming at all. Not much to complain about with this book. It was a fast, easy read with a compelling storyline. I was a bit confused on the formatting, specifically why there needed to be parts, but I didn’t mind too much. Read this you won’t be disappointed!

This book switches between past, present, fake, and real so seamlessly you get trapped in the web just like the main characters do. I was on my toes until the very end, and was completely unsuspecting of the twist, but as soon as it was revealed it all made sense. The constant weaving of fiction-based metaphors and psychological comparison is both beautiful and devastatingly real. If you’re looking for a psychological thriller, this is the perfect book.

The twist at the end of this book was unexpected and exciting. Overall one of the best books I’ve read held my attention the entire time.

Take a read on this one! Amazing novel. My first book since getting back into reading again and loved it.

I don’t know…the narrative style felt almost juvenile and the payoff just didn’t hit for me.

Couldn’t put it down! Loved the slow-burn and the inevitable twist at the end. Definitely worth the read.

Definitely a book you take a long sigh after putting down. You won’t regret this one even after the emotional wreckage it takes you through.

What a great read! This book kept me on my toes and had such a fun twist that I didn’t see coming! Must read!

Took a turn at the end I wasn’t expecting

It took me a bit to get hooked, but it kept me interested and obsessed throughout! I was sad when it was over!


I, too, read this book in two days! Could not lay it down. I am not great at figuring out “whodunit”, but this one kept me captivated until the very last page! Can’t wait to read his second book.

Very clever and well written, didn’t take me long to read which means it was good.

This is one of the best books I have ever read

Very compelling read with amazing twists and turns. The plot is a bit improbable and the characters too uniformly troubled for me, still insights abound.

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Such a good book. Psychological thrillers are my favourite and this one did not let me done. My eyes were glued to the pages, always eager to find out what happens next. One of my favourites!

Loved the twist, easy to read but a bit of a slow start. I’d recommend it.

I couldn’t tell how it was going to end, nor could I predict who was more on the edge of madness. This book was hard to put down and I really enjoyed it.

I thought this was great! It was suspenseful and moved along at a good pace. I didn’t think it was predictable at all and I read a lot of books in this genre. Well done!

This is such a good book, I literally could not put it down. Can’t wait to read his next book!


Amazing book from start to finish. I really did not see the ending coming.

Fast paced read

I couldn’t stop reading this book. A real nail bitter.

i only read a sample of the book so i could make sure it was worth the money before buying it. i saw a book review on it on youtube and i listened to it and just fell in love with the tone she said the book set. so i went on here and read it. it’s an amazing book! 5/5 stars!! definitely worth the money if you are into thrillers and mystery. it’s extremely detailed snd i couldn’t put what i read of it down.

The ending though! Try it and see for yourself but it’s definitely worth the time💙

I read this and hid by accident

It was an okay book. I actually found it rather predictable and familiar. Not the shocking ending that everyone said it was. Good though, over all.

By far one of the best books I have ever read. If you know what is good for you, you’ll read this book. It is almost addicting being so entangled in a book but I just couldn’t stop reading.

was truly surprised at the end, good quick read

What a novel. Tight writing. Not a word wasted. Great story that carries you along a roller coaster to the final paragraph. Highly recommended.

A quick read, with a predictable ending.

Interesting read, predictable ending.

I absolutely LOVED this book! I was hooked from the first much so that I read it in one day! If you like psychological thrillers (or just a good mystery and/or thriller) I highly highly recommend this book!!

Excellent!!!!! Finished book 3 days ago and I’m still pondering the outcome, never see it coming

I enjoyed this book and read it in one sitting. The twist was unexpected in the extreme and made it all the more interesting. I look forward to more from this author.


Really enjoyed this book - fast paced, a quick read.

Ludicrous plot, tedious and pretentious

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Very compelling read with amazing twists and turns. The plot is a bit improbable and the characters too uniformly troubled for me, still insights abound.

A good read if you can look past the plot hole near the end.

Wasn’t expecting the twist !

This book kept my interest from the beginning! With a twist I never expected!! 10/10!!


Loved this book!!!

Did not see the ending coming at all… it was brilliant. Hadn’t read a book this good in a while. Finished it in 2 days, definitely worth the read if you’re into psychological thrillers and plot twists like I am.

Nice twist. Did not see that coming!

I could not put this book down. I would read it in bed and wake up 4 hours later and read it in the middle of the night, hiding from my husband like I’m have an affair.

Amazing, I’m not a reader and I could not put this down!

Saw the ending coming

Unpredictable ending. Captivating read. I really enjoyed this book.

I didn’t know what to expect as I jumped into this. But once things started coming together……man. This was def a great read.

I couldn’t put this book down. Definitely recommend.

Just when you think you have things pinned in this book, another twist or turn is presented in order to complicate and challenge our understanding of what’s truly going on. It will keep you on the edge of your seat in the best possible way. Masterfully executed and something you’ll want to read again and again!

I read this book in 2 days. It had an ending that absolutely blindsided me. A new favorite of mine!

Definitely holds your attention! Surprising!

You just have to read it!

Easy read. Great twist. Loved it.

It was a good read but I hate the ending. I hate that the author didn’t go into details about what happened to Theo when the investigator questioned him about Alicia’s diary.

I could not put this book down. It was a little slow in the middle, but it was well worth pushing through to get to the unsuspected ending. This was my first book by this author, I hope their other novels are just as good.

Such a good book with all kinds of twists and turns!

So goooooood!

This book quickly draws you in and makes you a part of the story! I’ll admit it has a slow start but then quickly escalates towards a shocking plot twist!! Be prepared- you’ll never see this coming !

A page turner

This book caught my attention from the start! Such a great psychological thriller and caught me off guard with the ending!

I liked the twist in it!

Enjoyed all of it! Had a good twist to it

Had me glued to my couch! Haven’t read anything like it in ages. If your a fan of “ who did what and why” get this book. Then read the Maidens, you won’t regret it. Laksag

Oh my gosh!! Did not see the ending the coming!! Was completely mind blown… Soooo goooooodd!!!!

A brilliant work of art on a canvas of the mind painted with trauma, suspense, betrayal, and blood. This poem can only be told with silence

Great book . Did not see that ending coming !

An easy, suspenseful read. Loved it!

I was completely caught off guard - loved every second of this book.

Everyone had such great things to say so I gave it a try. Disappointed. The ending was eh. The plot twist was unpredictable for me but other than that it was so mediocre at best. Had multiple moving parts that lead nowhere.

Wow. I just loved how everything connected in the end.


Did not expect that twist, brilliant!

Great story with just the right twists and turns

Very catching. Could not put it down!

First read I’ve taken to in quite some time and it grasped me from the beginning. The twists and turns are so good I couldn’t pull away from the book

this book took many turns, but definitely a good read.

I enjoyed it!! Loved the ending!

I absolutely loved this book! The ending took me by surprise and was a very unexpected twist. I finished it in just one day. I couldn’t stop reading!

As a nurse, reading this was great! Made me think into minds of my psychiatric patients

I’m normally hard to keep engaged with a good book but this one kept me going! A great read indeed!

kept me interested and not wanting to put the back down. I couldn’t wait till I had time to read again. Finished the book in three days

Greatly written. Many twists and turns and i was NOT prepared for the ending. The final chapter was a great way to end the book. I got this book two days ago and couldn’t put it down. The author did an amazing job at developing the characters and tying everything in. Great great read!!

An ending I didn’t see coming, very well written.

honestly this book was so amazing. the whole thrill/mystery of the whole thing was so intriguing/well-thought and just when you think you’ve got everything down.. boom. plot twist. a few parts had me sorta confused but overall it was an amazing read🤝

Alex Michaelides - The Silent Patient Comments

About Alex Michaelides Wiki

Alex Michaelides (born 1977) is a bestselling British Cypriot author and screenwriter. His debut novel, the psychological thriller The Silent Patient, is a New York Times and Sunday Times bestseller, with over a million copies sold. Biography Michaelides was born in Cyprus to a Cypriot father and English mother. He studied English literature at Trinity College, Cambridge University.He studied psychotherapy for three years, and worked for two years at a secure unit for young adults. This work provided material and inspiration for his debut novel The Silent Patient. Work Michaelides' debut novel, The Silent Patient, was the No. 1 New York Times Bestseller of Hardcover Fiction in its first week and was the bestselling hardback debut in the US for 2019. It was a Sunday Times top 10 bestseller for seven weeks. On, it was the No. 2 most sold for 2019 in their list of Most Sold Books in fiction and named as their number one thriller of 2019. It also won the Goodreads Choice Awa...

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