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The Silent Patient
4.5 (2 ratings)

The Silent Patient

**THE INSTANT #1 NEW YORK TIMES BESTSELLER**

"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....

Published: February 5, 2019

Pages: 336

ISBN: 9781250301697

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Reader Reviews

4.5

2 ratings

Meagan W.

Feb 8, 2026
The Silent Patient is a slow burn at the start, and I’ll be honest—you have to trust it for a bit. The early pacing didn’t immediately hook me, but once the story hit its midpoint, everything tightened, sharpened, and suddenly I couldn’t stop turning pages.

The payoff is absolutely worth the patience. Even with subtle breadcrumbs woven throughout, I did not see the ending coming, which is always a win in my book.

I knocked it down to 4⭐ only because I wanted more momentum up front, but if you’re someone who can push past a quieter opening, this is a smart, satisfying psychological thriller that delivers where it counts.

Brittany F.

Feb 8, 2026
Absolutely LOVED this novel! From start to finish it was amazing. Written so perfectly from Alicia's diary to Theo's therapy and life. Kept you wondering who was the actual POI in the murder. Read this for our book club and so thrilled that it was chosen! Definitely reading more of Alex's novels.