The Silent Patient: An Analysis

by Alex Miceli 

The Silent Patient is told from the written perspective of Dr. Theo Farber, a talk therapist, who changes jobs to be able to work with the famous patient, Alicia Berenson, a painter who had shot her husband, Gabriel, several times in the face and then never spoke again. Instead of going to prison, she was committed to the failing psychiatric unit, the Grove. There, Theo faces internal resistance to his attempts to help Alicia. The novel also explores Theo’s own psychological issues and is partly told from Alicia’s diary leading up to the murder of her husband.

The Silent Patient is Michaelides’ first novel and won the Goodreads Choice Award for Mystery & Thriller. I hadn’t finished it by the time it won this award, so I did not vote for it myself. But I can see the appeal.

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