I picked up The Silent Patient, by Alex Michaelides, on the basis of a bunch of enthusiastic reviews by people on two Facebook reading group pages, and after finishing it, I have to ask…WHY?

I’m not going to use up a lot of space on this one. You may decide to read it anyway, and be as enamored of it as the many who gave it five stars on Goodreads. But here are my thoughts:

The main character is a psychotherapist, but his actions in this book lack any credibility, and in fact may well do a disservice to those who are considering therapy. It’s not the character himself (although I found him to be an unsympathetic one practically from the first page), it’s the lack of knowledge exhibited by the author concerning mental health diagnoses, treatments, and medications. Yes, it’s fiction, and in some instances I would say, Read it for the plot, the suspense, the twists, and don’t pay too much attention to minor inaccuracies; but this book goes too far. The drugs he mentions don’t act as he says they do. The treatment methods are slipshod and would never be tolerated by any facility for whom a licensed psychotherapist would work. The procedures in the supposedly locked and secure facility are laughable. The personal interactions between doctors and patients, doctors and doctors, spouses, and strangers on the street are not believable.

Aside from that, the characters are wooden, the plot is all over the place—including half a dozen unnecessary sub-plots that are nothing but blatant red herrings to distract you from what the other hand is doing—and there’s a fair bit of misogyny exhibited by most of the male characters, and uniformly negative portrayals of the female ones.

My headline for this review may be misleading: You could have taken it to imply that this book with “silent” in the title is golden, i.e., I’m recommending it. You would be wrong. While it may have turned out to be golden in terms of profits, my sole piece of advice would be to take it off your TBR list and breathe a sigh of relief that I saved you from wasting valuable leisure reading time.