Yesterday, I read this book by Alex Michaelides – the entire book – in about 6 hours. “The Silent Patient” – for me, a page turner.

Before the Spring 2026 semester ended, my “Intro to Literature” students gave book presentations based on the principles we drew from Thomas Foster’s “How to Read Literature Like a Professor.” One young lady, a high school senior, gave her presentation on “The Silent Patient,” which I had never heard of, but by the end of her presentation, I was on Amazon ordering it. Seriously, you know you did a great job on your presentation if your professor orders the book before you’re even done talking! She told just enough in her presentation to grant me curiosity – she didn’t give spoilers – and I needed to find out for myself.
Over a stretch of 6 hours yesterday, I found out why she chose that book for her presentation. Well done, to my student, and well done to Alex Michaelides, the author of “The Silent Patient.” That is what I have to say. How my student was able to give just the right amount of information to cause me curiosity without giving spoilers is incredible to me now on the other side – because as I want to talk about it, I find I only know how to express my actual thoughts WITH spoilers. But I will refrain … what I will do, though, is share a few quotes that grabbed me as I read.
I always read with a pen in my hand – when I do allow myself time to read. See, I read alcoholically – and when I read, no one exists but me IN the book. If you speak to me, I won’t hear you. You aren’t there. I’m gone somewhere. I find that my reading experience doesn’t suit my relationships all the time. If I could be satisfied with reading while he’s sleeping, then no worries, but I become consumed and can do nothing but remain nose to the book until that last page is turned. I don’t mean to. It just happens. I cannot read just one page.
My pen underlined a few passages yesterday.
“I was disconnected from my emotions, like a hand severed from a wrist. I talked about painful memories and suicidal impulses—but couldn’t feel them. I would, however, occasionally look up at Ruth’s face. To my surprise, tears would be collecting in her eyes as she listened. This may seem hard to grasp, but those tears were not hers. They were mine. At the time, I didn’t understand. But that’s how therapy works. A patient delegates his unacceptable feelings to his therapist, and she holds everything he is afraid to feel, and she feels it for him. Then, ever so slowly, she feeds his feelings back to him” (Michaelides 17). The bolded lines are me emphasizing those particular points that grabbed me; they are not a part of the text.
“It’s odd how quickly one adapts to the strange new world of the psychiatric unit. You become increasingly comfortable with madness—and not just the madness of others, but your own. We’re all crazy, I believe, just in different ways” (Michaelides 18).
“Love that doesn’t include honesty doesn’t deserve to be called love” (Michaelides 103).
And then, I was off and running, consumed. No more pen marks, but so much to say. I want to tell you all about it, but I will only say that there is a reason why this book was a New York Times Bestseller. It is well-written, and I enjoyed the dual perspective of the story-telling—from two characters’ perspectives, getting only partial bits and playing the detective on this side of the page, putting pieces together, guessing, second-guessing, and staying awake until well after 1:00 a.m. to turn that last page, my mind racing about the story after that, wanting to tell someone, talk to someone, find a book club about this freakin’ book.
Suffice it to say, it’s a nice way to pass some time—if you’re looking for a book to keep you company for a long Friday evening or a car ride somewhere. This is the book.
And Alex Michaelides is right … “We’re all crazy, I believe, just in different ways” (Michaelides 18). I firmly believe this – and anyone who isn’t a bit off their rocker is suspicious to me. I prefer to be around the ‘crazies’ — they tend to be more comfortable with authenticity … tend to be. Not always … sometimes, crazy is, well, dangerous. And another thing … honesty is essential in life. I’ve learned that through AA, so when I read that particular line, which I quoted above, it resonated with me. “Love that doesn’t include honesty doesn’t deserve to be called love” (Michaelides 103). Most of my life was lived in dishonesty … maybe that’s why I found myself consumed in this book; I understood the characters more than I care to admit. But honesty would have me say that yes, we are all a little crazy, and yes, honesty is the path to a healthy relationship—romantic or friendly—when you truly love another person, you speak truth to and with them, you hide nothing, you work hard at the relationship, and you honor that person, you share with that person through thick and thin, good and bad. Without honesty, it’s a ‘game’ of suspicion and self, a what can I get out of this ordeal, how do I maintain/control/keep life exactly as I want it and perceive it should be? It’s all about me—what I want, what I need. Never is that a solid foundation. Just like characters in this book may (or may not) discover.
Enough said.
