The Silent Patient - Pelukis Bisu

The story took such a sudden turn that I had whiplash. Was this pacing choice intentional to heighten suspense or just a writing style decision?

The characters’ inner worlds felt so real and unsettling. I wonder what inspired the author to explore these particular mental health themes.

Her silence was such a powerful element, but I sometimes wondered if it was used more for mystery than realism. What did others think?