Dark and twisty in the best ways, this kept me guessing until the end!

This book will grab you so fast & hard you'll feel like you'll need therapy after it ends! Wow! Great thriller.

Lost interest about a quarter way through the book. Very disjointed and rambling at times. The doctor seemed to have more issues than her patients.

Thank you to the publisher, author, and NetGalley for the opportunity to preview the book.

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When the life of clinical psychiatrist Dr. Sam James starts to unravel out of control, you can see just how the intricacies of psychosis, both personal and professional, impact a person.

At Typhlos, a government funded institution, Sam is a star. She's an amazing doctor with clinical techniques that impress all. When she is handed the file of a new patient who no one else could possibly crack, Sam begins to see how difficult life's dealings are and discovers that her behaviors and decisions are based on so much more than the stresses of her professional life.

A great read that kept my interest even though the ending was quite predictable. Great debut for the author.

Samantha James is a psychologist working at a psychiatric institution in Manhattan, home to 106 patients. She's troubled - she has issues with alcohol and is in a toxic relationship. Sam can't save herself - so she may as well try to save someone else. Enter Richard - an enigma that nobody else wants to treat. He's a patient with little or no record, nobody knows why he's there, and nobody can get any information out of him. The staff know that he has been in prison - but they have no idea why. As Sam tries to open him up, she is forced to look at her own life - and she's not prepared for what she sees.

I liked this, it was slow enough to start but it got better. I'm naturally drawn towards anything set in or around a mental health facility, because it usually means that there will be interesting characters, and this book didn't disappoint. I like an unreliable narrator too - and felt that Sam, for all her flaws, really was trying to better herself.

I wasn't mad about the ending, I saw it coming a mile off - this tends to happen when you read a lot of the same genre. I had only recently read a book with a similar event, so that's not this author's fault, more a consequence of reading a lot.

The atmosphere was good, it was dark, creepy, and it's definitely stronger than a 3/5 - not just quite a 4, so I'm putting it at 3.5. I would read more by this author.