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The Silent Patient

Alex Michaelides, 2019

Mystery, thriller & crime Contemporary fiction

A psychotherapist tries to make a silent murder suspect speak, and finds his own life caught in her refusal. An uneasy, curious read with a cool clinical voice and a growing sense of dread around identity and silence.

Feels like unease, curiosity and dread. About society, identity and death.

Who it’s for

You may like it if you enjoy crime stories that unfold in therapy rooms and depend on quiet observation more than chases. Be aware that Alicia's refusal to speak leaves long stretches carried by the therapist's speculation and sessions, so the pace can feel enclosed.

Why read it

It gives you a character-driven mystery about what silence hides, and the therapist's investment makes the central question feel personal.

A page from the book

What it costs to answer no questions when the charge is murder.

The following day, she lay in bed in a private room at the hospital. The police questioned her in the presence of her lawyer. Alicia remained silent throughout the interview. Her lips were pale, bloodless; they fluttered occasionally but formed no words, made no sounds. She answered no questions. She could not, would not, speak. Nor did she speak when charged with Gabriel’s murder. She remained silent when she was placed under arrest, refusing to deny her guilt or confess it.
Excerpt from The Silent Patient, Alex Michaelides 2019. Quoted for discovery. Source Rights & removals

Alex Michaelides.Alex Michaelides is a British-Cypriot screenwriter and psychotherapist; The Silent Patient, his debut novel, was published in 2019 and became a bestseller.

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Questions readers ask

Is The Silent Patient for me?
You may like it if you enjoy crime stories that unfold in therapy rooms and depend on quiet observation more than chases. Be aware that Alicia's refusal to speak leaves long stretches carried by the therapist's speculation and sessions, so the pace can feel enclosed.
What is The Silent Patient like?
An uneasy, curious read with a cool clinical voice and a growing sense of dread around identity and silence. Feels like unease, curiosity and dread. About society, identity and death.
What should I read after The Silent Patient?
If you liked The Silent Patient, try The It Girl (Ruth Ware), The Tenant (Freida McFadden) and The Couple Next Door (Shari Lapena).

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