Cover of The Silent Patient

The Silent Patient

by Alex Michaelides


Genre
Mystery, Crime, Thriller
Year
2018
Pages
352
Contents

Part Four — Chapter Ten

Overview

Theo informs Professor Diomedes that Alicia has spoken, prompting Diomedes to push for an immediate formal review. Theo resists, insisting on caution to protect Alicia’s fragile progress. Diomedes agrees to shield Theo from administrative fallout and urges him to continue treatment. In their next session, Alicia talks extensively, and Theo documents everything.

Summary

The chapter opens with Theo telling Professor Diomedes that Alicia has finally spoken. Diomedes is astonished and immediately credits Theo, while Theo downplays the moment, warning the progress could reverse.

Diomedes proposes a rapid formal review with a panel, but Theo argues this could frighten Alicia and jeopardize her breakthrough. After initial pushback, Diomedes accepts Theo’s caution, promises to manage Trust politics and Stephanie, and encourages Theo to keep working with Alicia.

In the next session, Alicia speaks continuously, moving from hesitant words to fluent expression. Theo listens, prioritizing her comfort over interruption, and recognizes the significance of the moment.

Afterward, Theo returns to his office and meticulously transcribes Alicia’s account word for word, determined to capture it accurately. He frames what she shared as an incredible story, leaving its credibility for the reader to judge.

Who Appears

  • Theo Faber
    Therapist and narrator; informs Diomedes of Alicia’s speech, resists a rushed review, conducts a follow-up session, and meticulously transcribes her account.
  • Professor Diomedes
    Clinical lead; excited by Alicia’s breakthrough, initially pushes for a panel, then agrees to Theo’s cautious approach and offers political cover.
  • Alicia Berenson
    Patient; after long silence, speaks at length in session, moving from tentative to fluent, providing a story Theo records.
© 2026 StoriLuna