Book Review | The Silent Patient – Alex Michaelides | #gifted

Title: The Silent Patient
Author: Alex Michaelides
Publication date: 5th February 2019
My rating: ★★★
Goodreads rating: 4.09
Pages: 352
Genre: Mystery, Thriller


I was sent a #gifted e-arc of this book for the publishers Orion in exchange for an honest review. All views are my own and are not influenced by receiving a copy of this book in any way.

I would like to thank Orion, NetGalley, and of course the author Alex Michaelides for sending me a copy of this book.

*Trigger Warnings – Murder, attempted rape, self harm and talks of self harm scars, attempted suicide, drug use*


Only she knows what happened.
Only I can make her speak.


I love him so totally, completely, sometimes it threatens to overwhelm me. 
Sometimes I think- 
No. I won’t write about that.

Alicia Berenson writes a diary as a release, an outlet – and to prove to her beloved husband that everything is fine. She can’t bear the thought of worrying Gabriel, or causing him pain.

Until, late one evening, Alicia shoots Gabriel five times and then never speaks another word.

Forensic psychotherapist Theo Faber is convinced he can successfully treat Alicia, where all others have failed. Obsessed with investigating her crime, his discoveries suggest Alicia’s silence goes far deeper than he first thought.

And if she speaks, would he want to hear the truth?



Overall opinion of the book:

The Silent Patient was an absolutely fantastic read. It was one of those books I couldn’t put down once I began reading it; I actually found myself up until 2a.m. eager to finish it when I had to get up at 6a.m. This was also the first book I buddy read, which was fun. Me and Sarah from Book Hooked Nook read this in February as we both had arcs. 😊

I was so impressed with The Silent Patient, it was absolutely outstanding and the plot was so intricate. Although the book was a page turner, it did take me around 100 pages to become fully invested in the story as I wasn’t overly fussed on the the main character, Theo to begin with. His attitude seemed strange with no redeeming qualities, but as the novel progressed and readers are given an insight into his background this then makes sense. I’m glad I stuck with it because it blew me away!

As the synopses explains, the book follows physiotherapist Theo, who is determined to make the notoriously silent patient, Alicia, speak about why she shot and killed her husband. The interactions between Theo and Alicia were particularly interesting to read and I enjoyed learning about the different techniques physiotherapists use to help patients. Although I wasn’t overly fond of Theo’s personality for the most part, I particularly liked Alicia’s character. She was very intriguing and it was interesting to have her journal of the events leading up to the shooting alongside the present day. It gave readers a much needed insight into her character and actions; it also highlighted the difference in Alicia’s attitude in the past and present. We’re also given an insight into the lives of the people close to her and how they interacted and impacted her life.

Another interesting aspect The Silent Patient was learning how corrupt the hospital Alicia is being kept in is. It was eye opening to read about the staff not being as innocent as they first seem and not actually having the patients best interests at heart.

The writing was phenomenal, even more so given that this is a debut novel! Michaelides is such a talented writer that kept me guessing until the very end. Even though there were some parts I suspected would happen, I never would have guessed the overall plot. It literally made me stare at my iPad open mouthed. He explains everything is such great detail and leaves no stone unturned. All of the loose ends were tied up and the ending was so unique to anything I’ve read before! I was SHOOK.

Final thoughts:

I would definitely recommend The Silent Patient to everyone, even if you don’t usually enjoy thrillers, it’s worth the read! The characters are a bit messed up and the plot is sometimes quite haunting and creepy, but in the best way possible!

This is definitely the book to pick up in 2019. It’s full of intricate plots, interesting characters and will keep you up all night eager to find out what happens. Although the pace is a little slow to begin with, the plot picks up quickly and the book becomes action packed with fascinating content.

I genuinely can’t wait to read more of Michaelides work in the future. His books are definitely going to be ones that will be instantly added to my tbr pile!

If you would like to purchase a copy of this book, you can do so here:



Book Depository


Have you read The Silent Patient? What were your thoughts on it? Did you guess the ending? Let me know in the comments below! 😊

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Cover and synopses

Alex Michaelides

Orion Books


12 thoughts on “Book Review | The Silent Patient – Alex Michaelides | #gifted

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