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All booksThrillerThe Silent Patient
The Silent Patient by Alex Michaelides

The Silent Patient

Each year thousands of members vote for our Book of the Year award—congrats to The Silent Patient!
We love supporting debut authors. Congrats, Alex Michaelides, on your first book!
Early Release
This is an early release that's only available to our members—the rest of the world has to wait 'til next month to read it.

by Alex Michaelides

Quick take

A therapist unravels the mind of a shattered woman ... who may be a murderer (or not).

Good to know

  • Illustrated icon, Icon_Psychological


  • Illustrated icon, Icon_Creepy


  • Illustrated icon, Icon_Whodunit


  • Illustrated icon, Icons_Buzzy


Why I love it

Since Gone Girl conquered the globe in 2012, bookstore shelves have creaked beneath the weight of countless psychological thrillers. Another 44 were published in the past eight seconds alone—and precious few of these novels actually qualify as psychological suspense. More often than not, they focus on an imperiled protagonist—usually a young woman—whose psychology is neither nuanced nor particularly … well, particular. We might rattle around in the heroine’s head, but absent idiosyncrasies, dimension, or even personality, it’s like touring an empty museum.

Readers, we face a literary epidemic. But Alex Michaelides is here to deliver the cure. The Silent Patient is an eerie, bona fide psychological thriller starring Theo Faber, a psychotherapist who by trade dwells within the inner lives of his charges—one of whom refuses to speak. As Theo attempts to break through to his silent patient—a woman convicted of murdering her husband—a dark story unfolds that is as shocking as it is expertly crafted.

The characters in this novel crackle with complexity—with genuine psychology—and a walk through their minds feels as risky and exhilarating as crossing a minefield. (I would here like to coin the term "mind-field.") This phenomenal interior novel defibrillates the ailing body of the psychological thriller genre. I’m delighted to invite readers into the world of The Silent Patient. Just don’t get too comfortable.

Read less


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....

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Get an early look from the first pages of The Silent Patient.

Member thoughts

All (51841)
All (51841)
Love (35006)
Like (15043)
Dislike (1792)
52152 ratings
  • 67% Love
  • 29% Like
  • 3% Dislike
  • Nampa, ID

    Simply brilliant. It’s not often that I can be kept in the dark and not guess the ending. The Silent Patient did. It basically gave me the small taste of realization and i actually gasped. ⭐️⭐️⭐️⭐️⭐️

  • Sunbury, PA

    One of the best psychology book I have read in years! The twists and turns and surprises keep you enthralled. Read it I six hours! Read it and then try to sleep. Parts of the story keep invading yourthoughts

  • Hillsborough, NH

    What an exciting read! Couldn’t put it down and wanted to get to the secret surrounding “why” the main character was silent. Oh and that ending, it was quite a curveball. Can’t wait for the big screen

  • Indianapolis, IN

    OMG. This novel was excellent! Once I read a couple of pages, I couldn’t put the book down. There were twists that I didn’t see coming. The ending literally blew by mind. I’m still in shock!????????

  • Appleton, WI

    Holy moly! A great book! This one hits the ground running right from word-one. The first sentence is “Alice killed her husband”;then on the third page, “Alicia never spoke again”. Exciting to the end.

  • Clinton Township, MI

    This was one of the best books I’ve read in a long time! I always try to guess the “whodunnit” before the author reveals it & I could not figure it out with this book! I’ve recommended this book a lot

  • Midland, MI

    This book isn't at all what I thought it was gonna be. It was better! The writer to captures the thoughts of the characters and show them at the right time. keeps us interested, without spoiling. ❤️❤️

  • Lenexa, KS

    I love a good suspenseful novel full of twists. When I read the reveal I literally said, “WAIT... WHAT?!” out loud. I then went back and reread the last couple of pages I had read. I loved it. 4.5 ⭐️


    I wasn’t sure when this book started. It’s out of my typical comfort zone, so I thought maybe I’d picked poorly. However, the story comes together nicely with some stomach turning surprises. Worth it!

  • Odessa, TX

    I loved the references to Greek tragedies because I eat those up in fact, that was probably my fav part. It’s a very poetic thriller. It wasn’t a twist for shock value’s sake. It served an honest purp

  • Ripley, TN

    Not often am I shocked by a book, but this one really threw me for a loop. Oh, the twists and turns! ???? A very well written, page-turning, thought provoking book. What a way to start my BOTM journey❤️

  • State College, PA

    Wow. Haven’t finished a book so fast in a long time. Definitely an easy read but an interesting multifaceted story. Narration style was great.Don’t want to give anything away, but it’s worth the read

  • Zanesfield, OH

    I must confess. I’ve sinned. This read was the first reason. I was gluttonous. My sinning began at page one. I gorged, gulped, slurped it down, devoured each page till the end. I was left satisfied.❤️

  • Katy , TX

    I’m not even sure why I loved this book. I just know I couldn’t put it down. I enjoyed that I could follow the threads of the mystery, that I could recognize red herrings,but couldn’t quite close in.

  • Burbank , IL

    Talk about a twist. I really enjoyed this book. It’s the first one I’ve read in over six years and it’s great to get back into it with a fresh book that I really loved. Had my mouth open.. literally.

  • Cary, NC

    Worth all the praise it’s recieved. I’ve passed it on to my wife and mother-in-law and they loved it also. My only complaint is that once the twist is revealed you can’t reread and be suprised again.

  • Rock Island, IL

    The unexpected turn of events caused me to gasp aloud, “NO WAY!” I’ve read enough mysteries and thrillers to usually have a good sense of what is to come, but this was one twist I did not see coming.

  • Columbus, OH

    I read this entire book from cover to cover in ONE day. It was so interesting that I couldn’t put it down. There were twists/turns throughout the book and just when I thought I figured it out, NOPE! ????

  • Wyomissing, PA

    Love this book! So well written as a therapists stand point working with a patient. It. An be so frustrating working with clients who won’t talk but there’s always language in the silence. Many stars

  • Owasso, OK

    This was easily the best psychological thriller/mystery that I’ve ever read. It had a strong story build, and the plot was amazing. The plot twist was shocking. I couldn’t put this book down! Loved it

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