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The Silent Patient is Bookclubz' Book of the Month.

Use these discussion questions to guide your next meeting.


#1 New York Times bestseller 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.


Were you satisfied with the ending? What do you think the future holds for Theo and Alicia?

This book includes many different types of communication: conversation, diary entries, art, and even silence. How are each of these used to progress the story line and character development? Which did you find to be the most effective or powerful?

How did you feel about Theo and Kathy’s marriage? What are your thoughts on how their relationship is resolved?