The Silent Patient

The novel includes a huge twist toward the end. What clues before this moment reveal Theo’s role in Gabriel’s death? Consider the following questions as you develop your ideas:

• Why does Theo begin working with Alicia?
• What parallels are there between Alicia and Theo?
• How does Theo reveal his true character throughout the novel?
• What moments earlier in the story does the twist illuminate in a different light?
• How does the twist impact the reader’s understanding of Theo’s character?

Teaching Suggestion: Consider pausing and discussing immediate reactions after reading Part 4, Chapter 21, as this could build student engagement. Students might want to discuss when they first suspected Theo or if the twist was a complete surprise to them. During reading, the class could post predictions or clues and add to the list as the mystery builds, which would provide support for the larger discussion at the end.

Differentiation Suggestion: For advanced learners, consider expanding the discussion to include analysis of style. Students could discuss how the format, perspective shifts, diction, and other literary strategies provide the reader with clues. Students with executive functioning differences may appreciate the opportunity to create a timeline with a group during class or as a take-home assignment prior to beginning the Discussion/Analysis Prompt.