There are books that entertain, books that challenge, and then there are books that completely pull you into their world and refuse to let you go. The Silent Patient by Alex Michaelides did exactly that for me. I started reading it on a quiet evening, expecting a good psychological thriller. What I got was a journey into deception, obsession, and the shifting nature of truth. Something that had me feeling a lot more than just suspense.
The Untrustworthy Narrator and Alienation
From the beginning, I found myself drawn to Theo Faber, the narrator. He seemed like the kind of character I could trust—intelligent, determined, and genuinely interested in helping Alicia Berenson, the famous painter who murdered her husband and then stopped speaking. But as I turned the pages, I started experiencing a creeping sense of unease. The story employs the Untrustworthy Narrator technique brilliantly. As Theo’s own past and motivations slowly unraveled, I began to realize that perhaps I had placed my trust in the wrong hands.
One passage that stood out to me was when Theo reflects, “We’re all crazy, just in different ways.” This line made me reconsider everything—was Theo truly helping Alicia, or was he driven by something else? This left me feeling Alienation, doubting my own instincts about who to believe. It was disorienting but also exhilarating, like standing on unstable ground and waiting to see where the cracks might appear next.

Red Herring & The Puzzle of Truth
Michaelides also plays with Red Herring, leading me down one path after another, only to pull the rug out from under me. Just when I thought I had pieced together the mystery of Alicia’s silence, another twist would shift my entire perspective.
For example, Theo’s investigation into Alicia’s past seems to point in one direction—toward external manipulation and trauma. Yet, when Alicia’s diary entries revealed her deepest fears and emotions, I realized I had been misled.
This wasn’t just a thriller—it was an intellectual challenge, a puzzle that made me feel like an active participant rather than just a reader. Each revelation brought a mix of frustration and excitement, mirroring Theo’s own obsessive search for the truth.

Second Look and Reframing the Story
One of the most shocking moments for me was the Second Look technique. Throughout the book, past events are revisited and reinterpreted, ultimately revealing Theo’s true role in Alicia’s story. It wasn’t just a plot twist—it was a complete reframing of everything I thought I knew.
When I reached the moment where Alicia paints her final portrait and titles it Theo, I physically put the book down. The weight of that revelation made me reevaluate every assumption I had made. How had I been so thoroughly misled?

Irony and The Therapist’s Own Secrets
The use of Irony added another layer to my experience. Theo, a therapist committed to uncovering Alicia’s truth, was himself entangled in the very deception he was trying to dismantle. I found myself reflecting on how often we project onto others what we refuse to acknowledge in ourselves. It was unsettling and deeply thought-provoking.
Catharsis and the Emotional Impact of Alicia’s Diary
And then, there was Catharsis. Alicia’s diary, a Secret Discloser, is where the emotional weight of the novel truly hit me. Through her words, I felt her trauma, her helplessness, and the slow realization of what had been done to her. By the time the full truth was revealed, I experienced the same mix of sadness, anger, and relief that she must have felt.
When she writes, “I am trapped in a story I didn’t write,” I felt a deep sense of frustration and sorrow. The tension that had been building for chapters finally released with the novel’s conclusion, but it left behind a lingering discomfort. Even as the story resolved, the moral ambiguity of Theo’s actions haunted me.

Featured Image
Cover of the novel The Silent Patient from Amazon.com.