The Silent Patient
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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....
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Reviews

Photo of Lauren Piper
Lauren Piper@laurenpip
4.5 stars
Mar 5, 2025

Crazy ending but timeline confusing a bit

+4
Photo of Kyle James
Kyle James@kyle_james
4.5 stars
Feb 25, 2025

What an ending. First thriller that I read, and I was very pleased with the experience. The ending had me re reading several parts, amazed that I didn’t realize what had happened. This book left me absolutely stunned.

+4
Photo of Tammy
Tammy@skitzic
5 stars
Feb 16, 2025

Kept me guessing right until the end. It really surprised me, and drew me in in a way I wasn't expecting.

Photo of Ariel Walker
Ariel Walker@amwalker01
5 stars
Feb 15, 2025

Straight to the point psychological thriller. I loved the way this story was written the twist was beautifully done. The characters were interesting. Loved the ending.

+8
Photo of A
A@epilogues
3 stars
Jan 29, 2025

ohhhh twist unraveled so good my jaw dropped 3 floors down. cant say i didnt miss the feeling

+1
Photo of jay
jay@kaabtik
2.5 stars
Jan 26, 2025

Strong character development? It's complicated
Loveable characters? No
Diverse cast of characters? No
Flaws of characters a main focus? Yes

2.5


 "How can one sinking rat save another?" 


My first audiobook since high school and if we're rating it on that alone, I'd rank this a solid 4/5 stars. The narrators really did a great job in making voices but not be too obtuse about the fellow characters they were conversing with. It made the story much more tense and colorful, and really pulled up my rating.

On the side of the story, I do understand its popularity as well as the hype around it. As a hoodunit, it has that gripping thrill of dangling the answer right in front of you and then taking it away. Whoever, some parts of the execution makes me feel off about it, namely that of the fluidity between the conversations — honestly just how the characters spoke as a whole.

The therapy speak and the elaborate conversations (especially in Alicia's diary entries) were entertaining until they became a bit much. I guess you can justify it as the reader delving further into Theo's mind and his skewed version of things instead of the actual, objective truth that he so touts. That being said, I was suspicious about him from the beginning so when the POVs started falling together, the twist made sense. I do commend the narrators for their delivery, because it made the revelation much more dramatic.

This edition of the audiobook had an interview of the author at the end and his answers actually made sense with some of the choices made in the book. That is to say, he put a lot of himself into the book than he thought and it muddled my experience of it. 

+3
Photo of Evie ruby bevan
Evie ruby bevan@eviexx
3.5 stars
Jan 24, 2025

it was slow but it was page turning- I thought Theo had something to do with it but I did not suspect that the whole time he was telling us the story that was in the past 😱.

This review contains a spoiler
+3
Photo of Ashlee
Ashlee @reverent-reader
4.5 stars
Jan 18, 2025

Absolutely loved this! Also, THAT ending! If you’re a thriller junkie like me, this is definitely a book to get your hands on.

+5
Photo of Jack Lucie
Jack Lucie@jacklucie18
5 stars
Jan 11, 2025

This was the book that got me back into reading in July 2024. I really don’t want to say much, because you MUST go into this book with as little information as possible. A monumental work of fiction. This book deserves all the hype it gets online.

Photo of Lacee Foutch
Lacee Foutch @lfoutch
5 stars
Dec 12, 2024

Insane ending! Kept me guessing who was the main star until the very end. Really really enjoyed It!

+2
Photo of larissa campos
larissa campos @ssecretgardenss
5 stars
Dec 8, 2024

Sou louca em mistério mas esse aqui foi um dos melhores, no mínimo top três melhores que já li! Adoro narradores não confiáveis e esse autor faz isso como ninguém, para sempre o mistério que recomendo de imediato se me perguntarem.

This review contains a spoiler
+16
Photo of Reader Gyal😛
Reader Gyal😛@inevanzanderswetrust
5 stars
Sep 29, 2024

UHM HELLO I LOVED THIS IMMA READ MORE THRILLERS

+4
Photo of Edna Aviles
Edna Aviles@avilese07
3.5 stars
Sep 27, 2024

The ending was the best part of the book, felt like it was dragging at the beginning & hard for me to want to continue to read but I trusted everyone telling me that the beginning was slow.

+2
Photo of Jess (the og)
Jess (the og)@jesszzxx
5 stars
Sep 12, 2024

Oh my good Lordy what the flip guys 😭

So this book was page turning from the first page. Finished it in 2 days I couldn’t help but pick it up every spare moment I had. I don’t really know what else to say except I am still in shock at that ending. Holy wow. Like I can’t even explain how my heart stopped and I had to resurrect myself after staring at a wall for an hour or two because that was a real plot twist, like people say a good plot twist is when a character we wouldn’t suspect is the murderer but you don’t know what a real plot twist is until you’ve read this because that’s a WHOLE NEW LEVEL OF INCREDIBILITY

Thanks for reading this now please hurry and go pick up that book 🙏🙏

Photo of caril a
caril a@caril
5 stars
Sep 9, 2024

what the flying fuck THE DELIVERY THE PACE THE DESCRIPTION??? THE DETAILS??? FUCK I LOVE IT ALL. IT WAS WAY TOO REALISTIC NA I KENNAT... OMFG I EVEN POINTED FINGERS SA WRONG PPL. the writing style, the timing, the TWIST??? YAWA THIS IS WHAT I EXPECT IN A FUCKING BOOK.


zon't get me wrong, i still love theo ket ganun sya MEHEHEHEHEHEH FAAAAAK wrong timing cuz d story got me thinking abt me nd j*nd* BAHAHAHAJHAHAHHSHAHA SHIT GIRL WTFFFFF DATS WAY TOO TWISTED ND I LOVE EEEEEETT

+4
Photo of Isabell McMann
Isabell McMann@carebear200
5 stars
Sep 6, 2024

Amazing, just amazing

Photo of ⊹ ࣪ ˖ bonnie ⊹ ࣪ ˖
⊹ ࣪ ˖ bonnie ⊹ ࣪ ˖@redsswan
5 stars
Sep 4, 2024

incredible show stopping I’m actually never forgetting this book

Photo of Elyse Anderson
Elyse Anderson@elysejune
3.5 stars
Aug 25, 2024

Unpredictable ending and had me hooked for what was next the entire time. The only part I didn’t like were here journal entries. The prose was unrealistic, written in a fictional way, not in a way someone would actually write in their journal. That is a big enough offense to me not to get this book to 4 stars. But still a fun read

+3
Photo of victor
victor@verrer
5 stars
Aug 23, 2024

i just finished it and i'm not lying when i say that i literally stared at the wall for half an hour to recover from what i read. my jaw actually dropped and i couldn't believe my eyes.

Photo of Mary Grace Wolnski
Mary Grace Wolnski@marygracewolnski
3 stars
Aug 19, 2024

The writing felt cheesy at first, but then I forgot about it and got into the story. Was a fun/easy page turner that I read with my roommates which was funny — surprising twist towards the end that I definitely didn’t see coming lolll. But really.

+1
Photo of Madii
Madii@alieco
3 stars
Jul 30, 2024

OMG l finished it and all I can say is, that was baaaaad. There wasn't a time I felt that the story was engaging. It felt like a chore to finish. No surprising revelations for me. Convenience Store Woman was so much better because that got me really angry atleast, although I almost DNFed that one. This one was just so bland.

Photo of Kass
Kass@kass_sheehan24
5 stars
Jul 25, 2024

Loved this! Dark without being TOO dark in my opinion. And I loved the twist at the end :)

+1
Photo of Sarah
Sarah@notsomorallygrey
5 stars
Jul 22, 2024

I LOVED IT!!! Everything was so well written, the plot twists and suspense. I had to take a moment to take it all in but definitely worth it!! The endingggggggg god.

Photo of Julie G
Julie G@juriiang
4.5 stars
Jul 18, 2024

This book was well-written. I did not find the story too dragging, and of course plot-twist was there.

At the end of the story, Theo just smiled. I’m guessing that he too, have lost his mind.

This review contains a spoiler
+1

Highlights

Photo of Ashlee
Ashlee @reverent-reader

“One of the hardest things to admit is that we weren’t loved when we needed it most.”

Page 102
Photo of Hannah Nugent
Hannah Nugent@bellarose

"About love. About how we often mistake love for fireworks for drama and dysfunction. But real love is very quiet, very still. It's boring, if seen from the perspective of high drama. Love is deep and calm-and constant. I imagine you do give Kathy love - in the true sense of the word. Whether or not she is capable of giving it back to you is another question.”

Photo of pj
pj@orbeez

The development of our personalities doesn't take place in isolation, but in relationship with another-we are shaped and completed by unseen, unremembered forces; namely our parents.

Page 17
Photo of jc
jc@jclrs

“I shut my eyes and waited for death.

But death didn't come.”

Photo of jc
jc@jclrs

“one of the hardest things to admit is that we weren’t loved when we needed it most.”

Photo of Sàrah Cearfoss
Sàrah Cearfoss@cearfoss23

Kathy and I first got together: “Choosing a lover is a lot like choosing a therapist. We need to ask ourselves, is this someone who will be honest with me, listen to criticism, admit making mistakes, and not promise the impossible?” I told all this to Kathy at the time, and she suggested we make a pact. We swore never to lie to each other. Never pretend. Always be truthful.

Photo of 🌱
🌱@treesoul

Theo, one of the hardest things to admit is that we weren’t loved when we needed it most. It’s a terrible feeling, the pain of not being loved.”

She was right. I had been groping for the right words to express that murky feeling of betrayal inside, the horrible hollow ache, and to hear Ruth say it—“the pain of not being loved”—I saw how it pervaded my entire consciousness and was at once the story of my past, present, and future.

"What better way for me to prove that my father was correct—that I’m worthless and unlovable—than by pursuing someone who will never love me?"

Photo of Sàrah Cearfoss
Sàrah Cearfoss@cearfoss23

“The real motivation was purely selfish. I was on a quest to help myself. I believe the same is true for most people who go into mental health. We are drawn to this profession because we are damaged—we study psychology to heal ourselves”

Photo of 🌱
🌱@treesoul

I lay there listening to the fan. I like the sound it makes, a gentle whirring. I can shut my eyes and tune in to it and disappear.

Photo of Sashi
Sashi@sashlibrary

Remember, love that doesn't include honesty doesn't deserve to be called love.

Photo of Sashi
Sashi@sashlibrary

You know, Theo, one of the hardest things to admit is that we weren't loved when we neededit most. It's a terrible feeling, the pain of not being loved.

Photo of Maria M
Maria M@mariasagdalen

Why didn’t you come to me, I wanted to say. Why didn’t you talk to me? I was your best friend. If you had just said one word, we could have worked through it. Why didn’t you talk to me? I’m here. I’m right here.

Photo of Maria M
Maria M@mariasagdalen

Remember, love that doesn’t include honesty doesn’t deserve to be called love.

Photo of Aimee :)
Aimee :)@aimees_reading

That's the truth. I didn't kill Gabriel. He killed me.

All I did was pull the trigger.

Page 326
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Photo of Aimee :)
Aimee :)@aimees_reading

I remained silent. How could I talk? Gabriel had sentenced me to death.

The dead don't talk.

Page 325
This highlight contains a spoiler
Photo of Aimee :)
Aimee :)@aimees_reading

She ended the call and switched on an electric fan. She stood in front of the fan, her hair blowing in the breeze. She picked up a paintbrush, and approached a canvas on an easel. She stood with her back to me. Then she caught sight of my reflection in the window. I think she saw my knife first. She stiffened and slowly turned round. Her eyes were wide with fear. We stared at each other in silence.

This was the first time I came face to face with Alicia

Berenson.

The rest, as they say, is history.

Page 318
This highlight contains a spoiler
Photo of Aimee :)
Aimee :)@aimees_reading

A pinprick along the vein - a tiny hole left by a hypodermic needle - revealing the truth: Alicia didn't swallow a bottle of pills in a suicidal gesture. She was injected with a massive dose of morphine. This wasn't an overdose.

It was attempted murder.

Page 307
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Photo of Aimee :)
Aimee :)@aimees_reading

So I wasn't the only one being betrayed. He had returned home, after kissing my wife, and ate the meal this woman had prepared for him, as if nothing had happened. I knew I couldnt leave it here - I had to do something, But what? Despite my best homicidal fantasies, I wasn't a murderer. I couldn't kill him.

I'd have to think of something cleverer than that.

Page 303
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Photo of Aimee :)
Aimee :)@aimees_reading

I passed a house with a rock garden and succulent plants. I acted without thinking - my body seemed to move on its own.

My arm reached over the low wall into the garden, and picked up a rock. I could feel its weight in my hands. My hands knew what to do: they had decided to kill him; crack open the worthless scumbag's skull. I went along with this, in a mindless trance, creeping after him, silently gaining ground, getting nearer. Soon I was close enough. I raised the rock, preparing to smash it down on him with all my strength. I'd knock him to the ground and bash his brains out. I was so close; if he weren't still talking on his phone, he'd have heard me.

Page 302
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Photo of Aimee :)
Aimee :)@aimees_reading

As you will see, it's an incredible story - of that there is no doubt.

Whether you believe it or not is up to you.

Page 278
Photo of Aimee :)
Aimee :)@aimees_reading

‘What do I want?' I said. 'I want you to keep talking.... Talk - talk to me, Alicia -‘

Alicia stared at me. She was thinking about something. She came to a decision. She slowly nodded.

'Okay,' she said.

Page 276
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Photo of Aimee :)
Aimee :)@aimees_reading

‘I’m going to see Alicia, I need some answers."

‘From Alicia?' Christian looked startled. ‘And how do you intend to get them?"

'By asking her,' I said, and walked out.

Page 251
Photo of Aimee :)
Aimee :)@aimees_reading

I couldn't tell if I were depicted in the act of rescuing Alicia - or about to throw her in the flames.

Page 195
Photo of Aimee :)
Aimee :)@aimees_reading

It was a small movement. Tiny, really. Nonetheless, it spoke

volumes.

Alicia smiled.

Page 184
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