This book intrigued me from the start. It was well-written, with interesting characters who were well-developed. The twists and turns the book takes made it a real page-turner. The narrator is the therapist who worms his way into a job treating the "silent patient" -- both therapist and patient have their own demons and both are messed up. Each short chapter read quickly, so that I would think, okay, one more chapter before bed, then, kept saying the same thing, over and over, until I'd read way past bedtime. Nothing in this novel is as it seems, and each turn of the page revealed a new plot twist, more questions, and demanded the reader continue to read and dig and try to understand what's really going on. Overall, I really enjoyed this psychological thriller.