Book Review: The Silent Patient

The Silent Patient follows Theo Faber, a psychologist who has become obsessed with the case of Alicia Berenson, the painter happily married to a famous photographer who one day shot her husband in the face and then never spoke again. When Theo gets the chance to work with Alicia at her facilities, and to maybe learn the truth of her motivations, he jumps at it. From there, the book splits between Alicia's journal as her life speeds towards the tragedy and Theo's experiences working backwards towards it, colliding in a knot of intrigue and tragedy, forever blurring the line between villain and victim.
This book is one of the few adult, realistic fiction books I've been able to get through without tossing to the side after the first chapter. For whatever reason, I find adult realism to be dour and unnecessarily dark, like the authors used their genre as an excuse to be overtly cynical and call it depth of writing. This book has some of the same issues: all relationships started happily and ended horribly, everyone main character is a monster in some way, the ending is ambiguous and dark, etc. This book can be set apart, however, by its plot. The opening mystery is extremely intriguing, and wonderfully set up to make the audience deeply curious. Lots of prose is devoted to the mystery, like some great allusions to classical Greek theatre, which increases the mystique. Basically, the prose and the mystery give the novel that fun suspense many adult realistic fiction novels lack. Another way the plot shines is the plot twist. One reason its difficult to rate this novel is the fact that, while most of it is pretty good or mediocre, the plot twist at the end, and the subsequent conclusion, elevate the novel to another level. Beyond this, the character work is also moving, giving every character relatable motivations, and fleshing each out enough that seemingly insane actions make total sense.
All in all, while the writing wasn't fantastic, the stellar plot structure, plot twists, prose, and characters make this a good book. I would recommend this to anyone looking for intriguing mysteries, a gripping story, and way too many metaphors!