I give this psychological thriller 3.5 stars out of 5. It's really good with a satisfying ending, but I've read lots of Hitchcockian novels and the thrills at number umpteen aren't as seat-gripping as during the first several reads or views. Also, there's no real subtext in The Silent Patient, mainly just plot. That said, I would gift this book to friends and family who read but prefer to be entertained rather than educated. And if a movie is made of this screenplay-ready novel, I'll definitely go see it.
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