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THE PATIENT

A clever cocktail of psychological thriller and supernatural horror.

A young psychiatrist goes head-to-head with a patient with a reputation for driving caregivers mad.

It’s 2008, and Parker, the narrator of DeWitt’s crisp and creepy debut, is moved to blog about his experience treating Joe, an institutionalized young man with a terrifying ability to exploit others’ worst fears. Previous doctors have given up on Joe, left emotionally shaken by him; on Parker’s first day, one orderly exits Joe’s asylum room in hysterics, and soon after his nurse kills herself in despair. Still, Parker plunges in, inspired by youthful determination and a commitment to his profession. (His mother’s mental illness inspired him to pursue psychiatry.) Joe is initially polite and seemingly sane, an experience that cues a series of twists until Parker discovers the truth about whether Joe is misunderstood, mad, or something harder to define. DeWitt’s story exploits some well-worn tropes (“lunatics running the asylum” prominent among them) and nakedly evokes The Exorcist and Dracula (Parker’s name seems an homage to Stoker’s Jonathan Harker); subplots involving Parker’s fiancee and the asylum’s administration don’t have much life to them, and the nurse’s early departure spares the reader extended time with her clichéd Irish accent. But the central plot and storytelling are gripping, built on smart psychological parrying and good old-fashioned gross-outs: Parker recalls his mom pleading for help because “the damn maggots won’t crawl out of me, baby,” and Joe says he was haunted by a creature with “fly eyes and two big, superstrong spider arms” that “eats bad thoughts.” The story’s blog format gives the novel a casual, galloping pace (DeWitt posted an early version to a Reddit horror-fiction community), and the climactic confrontations between Parker and Joe are entertainingly intense.

A clever cocktail of psychological thriller and supernatural horror.

Pub Date: July 7, 2020

ISBN: 978-0-358-18176-7

Page Count: 224

Publisher: Houghton Mifflin Harcourt

Review Posted Online: April 12, 2020

Kirkus Reviews Issue: May 1, 2020

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THE SILENT PATIENT

Amateurish, with a twist savvy readers will see coming from a mile away.

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A woman accused of shooting her husband six times in the face refuses to speak.

"Alicia Berenson was thirty-three years old when she killed her husband. They had been married for seven years. They were both artists—Alicia was a painter, and Gabriel was a well-known fashion photographer." Michaelides' debut is narrated in the voice of psychotherapist Theo Faber, who applies for a job at the institution where Alicia is incarcerated because he's fascinated with her case and believes he will be able to get her to talk. The narration of the increasingly unrealistic events that follow is interwoven with excerpts from Alicia's diary. Ah, yes, the old interwoven diary trick. When you read Alicia's diary you'll conclude the woman could well have been a novelist instead of a painter because it contains page after page of detailed dialogue, scenes, and conversations quite unlike those in any journal you've ever seen. " 'What's the matter?' 'I can't talk about it on the phone, I need to see you.' 'It's just—I'm not sure I can make it up to Cambridge at the minute.' 'I'll come to you. This afternoon. Okay?' Something in Paul's voice made me agree without thinking about it. He sounded desperate. 'Okay. Are you sure you can't tell me about it now?' 'I'll see you later.' Paul hung up." Wouldn't all this appear in a diary as "Paul wouldn't tell me what was wrong"? An even more improbable entry is the one that pins the tail on the killer. While much of the book is clumsy, contrived, and silly, it is while reading passages of the diary that one may actually find oneself laughing out loud.

Amateurish, with a twist savvy readers will see coming from a mile away.

Pub Date: Feb. 5, 2019

ISBN: 978-1-250-30169-7

Page Count: 304

Publisher: Celadon Books

Review Posted Online: Nov. 3, 2018

Kirkus Reviews Issue: Nov. 15, 2018

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THE INTRUDER

A grim yet gleefully gratifying tale of lost innocence and found family.

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A woman fears she made a fatal mistake by taking in a blood-soaked tween during a storm.

High winds and torrential rain are forecast for “The Middle of Nowhere, New Hampshire,” making Casey question the structural integrity of her ramshackle rental cabin. Still, she’s loath to seek shelter with her lecherous landlord or her paternalistic neighbor, so instead she just crosses her fingers, gathers some candles, and hopes for the best. Casey is cooking dinner when she notices a light in her shed. She grabs her gun and investigates, only to find a rail-thin girl hiding in the corner under a blanket. She’s clutching a knife with “Eleanor” written on the handle in black marker, and though her clothes are bloody, she appears uninjured. The weather is rapidly worsening, so before she can second-guess herself, former Boston-area teacher Casey invites the girl—whom she judges to be 12 or 13—inside to eat and get warm. A wary but starving Eleanor accepts in exchange for Casey promising not to call the police—a deal Casey comes to regret after the phones go down, the power goes out, and her hostile, sullen guest drops something that’s a big surprise. Meanwhile, in interspersed chapters labeled “Before,” middle-schooler Ella befriends fellow outcast Anton, who helps her endure life in Medford, Massachusetts, with her abusive, neglectful hoarder of a mother. As per her usual, McFadden lulls readers using a seemingly straightforward thriller setup before launching headlong into a series of progressively seismic (and increasingly bonkers) plot twists. The visceral first-person, present-tense narrative alternates perspectives, fostering tension and immediacy while establishing character and engendering empathy. Ella and Anton’s relationship particularly shines, its heartrending authenticity counterbalancing some of the story’s soapier turns.

A grim yet gleefully gratifying tale of lost innocence and found family.

Pub Date: Oct. 7, 2025

ISBN: 9781464260919

Page Count: 288

Publisher: Poisoned Pen

Review Posted Online: Aug. 2, 2025

Kirkus Reviews Issue: Sept. 1, 2025

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