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Patient's Privilege
When Timothy Shea, a clinical psychologist at an elite clinic in New York, is thrust into the middle of a criminal investigation where the circumstantial evidence against him is compelling, he sets out to prove that not only is he innocent, but also that he is being framed. A dark secret involving patients at the clinic, one that implicates well-known psychiatrist Abner Reeves, might be the path to his exoneration, but the patient’s privilege prevents him from disclosing this confidential information. As Timothy tries to work around the privilege, Reeves reveals information to the police that all but seals Timothy's fate. What unfolds is a roller-coaster ride that pits two strong-willed professionals against one another in a battle to see whose version of the truth will prevail.
- GenresMystery
296 pages, Paperback
Published March 3, 2026
About the author
Rich Morvillo
2 books24 followersRich Morvillo resides in Washington, DC with his wife, two children and two dogs. He is a nationally recognized white- collar defense lawyer who co-chairs the practice at a large international law firm. He is a graduate of Colgate University and Fordham University School of Law.
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Displaying 1 - 30 of 49 reviews
February 21, 2026
ARC REVIEW
This suspenseful crime thriller was enjoyable. It does begin at a slow pace. It does gain momentum, albeit slightly. I didn't anticipate the twist.
Thanks to Book Sirens for sending me an advanced copy to read and review
This suspenseful crime thriller was enjoyable. It does begin at a slow pace. It does gain momentum, albeit slightly. I didn't anticipate the twist.
Thanks to Book Sirens for sending me an advanced copy to read and review
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March 15, 2026Well..I'm kinda in shock right now. I thought Patient's Privilege by Rich Morvillo would be an interesting and mysterious book, and it was. BUT, when I got to the ending, my mind was blown. I fell for all the red herrings that Rich threw my way. Yeah, it could be him. Oh yeah, it could be her. Or him. Or him....
It begins with Timothy Shea working at a psychiatric clinic in New York. He had been recommended employment by a respected psychiatrist, Abner Reese, the man who, more or less, ran the place. Abner was the only psychiatrist, the rest were psychologists. When Abner's wife is murdered and he is attacked, the mystery begins. The deeper into the investigation we go, the more muddy the water.
The biggest hurdle is patient privilege.
Tim is accused of the murder. Timothy says he has information that could exonerate him, or at least make Abner the target of the investigation, but patient privilege prevents him from sharing the information with the authorities. He encourages the patients to come forward, but blackmail and threats stop them.
The plot thickens. There's another murder. A pedophile ring is exposed.
Tim created a murder board. In my mind I am looking at all the suspects. Is there a conspiracy? I am collecting all the clues, whether still hidden from the police because of patient privilege, or whether Tim was able to find a work around. There is so much I want to say, but in this case, less is more.
Richard Morvillo offered me a copy. I checked it out, thought it would be a good fit, and I told him to count me in. Want a book with moral and ethical food for thought? How about a mystery that becomes more convoluted the more you read? Sound intriguing? Patient's Privilege may be for you.
It begins with Timothy Shea working at a psychiatric clinic in New York. He had been recommended employment by a respected psychiatrist, Abner Reese, the man who, more or less, ran the place. Abner was the only psychiatrist, the rest were psychologists. When Abner's wife is murdered and he is attacked, the mystery begins. The deeper into the investigation we go, the more muddy the water.
The biggest hurdle is patient privilege.
Tim is accused of the murder. Timothy says he has information that could exonerate him, or at least make Abner the target of the investigation, but patient privilege prevents him from sharing the information with the authorities. He encourages the patients to come forward, but blackmail and threats stop them.
The plot thickens. There's another murder. A pedophile ring is exposed.
Tim created a murder board. In my mind I am looking at all the suspects. Is there a conspiracy? I am collecting all the clues, whether still hidden from the police because of patient privilege, or whether Tim was able to find a work around. There is so much I want to say, but in this case, less is more.
Richard Morvillo offered me a copy. I checked it out, thought it would be a good fit, and I told him to count me in. Want a book with moral and ethical food for thought? How about a mystery that becomes more convoluted the more you read? Sound intriguing? Patient's Privilege may be for you.
Review of advance copy
Shocking, complex, brilliant. Patient’s Privilege expertly blends medical ethics, legal drama, and high-stakes corruption.
Psychologist Tim wants nothing more than to protect his patients, but he soon finds himself ensnared in a sinister web of egotism and murder spun by his own boss, Abner. As Tim delves into a dark past to prove his innocence, the tension mounts.
The central conflict, solving a crime without betraying professional privilege is gripping. With multi-layered characters and a breakneck pace, the story races toward a shocking conclusion so unexpected I had to read it twice to fully digest it.
A must-read for those who love a book with a bit of everything.
Psychologist Tim wants nothing more than to protect his patients, but he soon finds himself ensnared in a sinister web of egotism and murder spun by his own boss, Abner. As Tim delves into a dark past to prove his innocence, the tension mounts.
The central conflict, solving a crime without betraying professional privilege is gripping. With multi-layered characters and a breakneck pace, the story races toward a shocking conclusion so unexpected I had to read it twice to fully digest it.
A must-read for those who love a book with a bit of everything.
April 7, 2026
If you’re searching for a truly gripping psychological thriller that seamlessly blends legal precision with emotional depth, Patient's Privilege by Rich Morvillo is an absolute standout. This is the kind of book that doesn’t just entertain—it immerses you completely, demanding your attention from the very first page to the last.
At its core, the story follows a respected psychologist whose life is turned upside down when they are suddenly indicted on murder charges. What unfolds is a complex and meticulously constructed narrative that explores the delicate intersection of law, ethics, and human psychology. Morvillo’s command of legal terminology and ethical constraints, especially surrounding patient confidentiality, feels authentic and deeply informed, adding a layer of realism that elevates the entire reading experience.
The brilliance of this novel lies in how carefully the groundwork is laid. Every piece of evidence, every interaction, and every revelation feels intentional, building a case that seems both convincing and unsettling. As a reader, you’ll find yourself constantly reevaluating what you think you know. Just when the pieces start to fall into place, the story pivots in a way that is both surprising and incredibly satisfying. The ending is a testament to Morvillo’s skill—it’s tightly woven, intellectually rewarding, and leaves you genuinely impressed.
Beyond the central mystery, the book also delves into the protagonist’s professional world, offering insight into the psychological field and the weight of responsibility that comes with it. The tension between duty, morality, and self-preservation adds depth to the narrative, making it far more than a standard crime thriller.
This is, without question, an edge-of-your-seat read. With its many layers and intricate twists, I highly recommend reading it in as few sittings as possible. Experiencing the story in a condensed timeframe heightens the suspense and keeps you fully engaged with its evolving complexities.
Rich Morvillo is anything but an ordinary writer. His attention to detail and masterful storytelling set him apart, delivering a novel that is as thought-provoking as it is thrilling. Patient’s Privilege is a five-star experience that will keep you guessing, thinking, and completely captivated until the very end. I received an advance review copy for free, and I am leaving this review voluntarily.
At its core, the story follows a respected psychologist whose life is turned upside down when they are suddenly indicted on murder charges. What unfolds is a complex and meticulously constructed narrative that explores the delicate intersection of law, ethics, and human psychology. Morvillo’s command of legal terminology and ethical constraints, especially surrounding patient confidentiality, feels authentic and deeply informed, adding a layer of realism that elevates the entire reading experience.
The brilliance of this novel lies in how carefully the groundwork is laid. Every piece of evidence, every interaction, and every revelation feels intentional, building a case that seems both convincing and unsettling. As a reader, you’ll find yourself constantly reevaluating what you think you know. Just when the pieces start to fall into place, the story pivots in a way that is both surprising and incredibly satisfying. The ending is a testament to Morvillo’s skill—it’s tightly woven, intellectually rewarding, and leaves you genuinely impressed.
Beyond the central mystery, the book also delves into the protagonist’s professional world, offering insight into the psychological field and the weight of responsibility that comes with it. The tension between duty, morality, and self-preservation adds depth to the narrative, making it far more than a standard crime thriller.
This is, without question, an edge-of-your-seat read. With its many layers and intricate twists, I highly recommend reading it in as few sittings as possible. Experiencing the story in a condensed timeframe heightens the suspense and keeps you fully engaged with its evolving complexities.
Rich Morvillo is anything but an ordinary writer. His attention to detail and masterful storytelling set him apart, delivering a novel that is as thought-provoking as it is thrilling. Patient’s Privilege is a five-star experience that will keep you guessing, thinking, and completely captivated until the very end. I received an advance review copy for free, and I am leaving this review voluntarily.
May 14, 2026
NetGalley.
Just when I thought I had locked my opinion on this book, I read the last 10 pages and the main character decides to give me a 360º twist. Despite the fact that throughout the book the main character tested my patience between his “apparent stupidity” and actually wanting to prove his innocence; but I guess now I see where he was trying to get to.
It started with a very slow burn, only picking-up around 35% of the book. The bureaucracy and dilemma of doctor-patient confidentiality is intriguing, but simultaneously quite irritating.
Just when I thought I had locked my opinion on this book, I read the last 10 pages and the main character decides to give me a 360º twist. Despite the fact that throughout the book the main character tested my patience between his “apparent stupidity” and actually wanting to prove his innocence; but I guess now I see where he was trying to get to.
It started with a very slow burn, only picking-up around 35% of the book. The bureaucracy and dilemma of doctor-patient confidentiality is intriguing, but simultaneously quite irritating.
March 6, 2026
Thanks to Rich Morvilo, Mascot Books and NetGalley for this free advanced copy of Patient's Privilege. I am leaving this review voluntarily and all opinions expressed are my own.
Although I would describe this book as quite a slow burn, I wasn't mad about it. The pace gave plenty of room for me as the reader to formulate my own theories and questions about the characters and their potential motives.
I will admit there is a lot going on throughout this book - a wide range of characfers, multiple criminal cases and several personal plot lines - but I didn't feel it was too overwhelming. I actually really enjoyed the flow of the story.
The main character is a dynamic and interesting guy. Having the whole book from his POV allows you to get right inside his head and what he is thinking. Some of his actions and decisions are highly questionable, but this merely reflects his sense of desperation as the evidence builds up against him and he faces losing absolutely everything.
I had a hunch throughout about one character in particular, so I was delighted when it proved correct. What I didn't see coming was the twist on top of the twist, which took me completely by surprise (and without giving too much away, the big reveal doesn't even end there).
All I can say is that if at any point you start losing heart or doubting the pace of the story while reading this book (I'm looking at the anti-slow burners out there), do not give up because my mind was genuinely blown at the end.
Credit to Rich Morvilo for leaving me open-mouthed when I turned the final page. I had to sit quietly for a good few minutes before I was able to process what I had just read.
Although I would describe this book as quite a slow burn, I wasn't mad about it. The pace gave plenty of room for me as the reader to formulate my own theories and questions about the characters and their potential motives.
I will admit there is a lot going on throughout this book - a wide range of characfers, multiple criminal cases and several personal plot lines - but I didn't feel it was too overwhelming. I actually really enjoyed the flow of the story.
The main character is a dynamic and interesting guy. Having the whole book from his POV allows you to get right inside his head and what he is thinking. Some of his actions and decisions are highly questionable, but this merely reflects his sense of desperation as the evidence builds up against him and he faces losing absolutely everything.
I had a hunch throughout about one character in particular, so I was delighted when it proved correct. What I didn't see coming was the twist on top of the twist, which took me completely by surprise (and without giving too much away, the big reveal doesn't even end there).
All I can say is that if at any point you start losing heart or doubting the pace of the story while reading this book (I'm looking at the anti-slow burners out there), do not give up because my mind was genuinely blown at the end.
Credit to Rich Morvilo for leaving me open-mouthed when I turned the final page. I had to sit quietly for a good few minutes before I was able to process what I had just read.
March 13, 2026
Clinical psychologist Timothy Shea finds himself in the nightmare scenario: he’s being framed for the murder of his psychiatrist’s wife. Unfortunately for the police—and the reader—the investigation keeps slamming into one immovable object: patient confidentiality. The title Patient’s Privilege isn’t just clever wordplay; it becomes the central obstacle of the entire story.
As the investigation stalls behind a wall of ethical and legal boundaries, Tim begins digging into the clinic’s past and uncovers a dark secret involving some of its patients. This element of the plot was genuinely intriguing and kept me turning the pages.
That said, the pacing occasionally suffers. Because the investigation repeatedly hits the same confidentiality barrier, parts of the story start to feel slow and a little frustrating. You almost want to shake the book and yell, “Someone just leak something already.”
The character dynamics were also a bit odd. Loyalty between characters felt strangely thin, and some reactions didn’t land as realistically as they could have. Without spoiling anything, Tim’s casual flirtations and his wife’s response to his arrest felt oddly hollow, as if everyone was operating at half emotional capacity.
Still, if you enjoy thrillers that build toward a shocking reveal, this one delivers where it counts. The conclusion packs a punch and definitely left me satisfied.
Overall, an interesting premise with a strong twist at the end—just be prepared to exercise a little patience along the way.
I received an advance review copy for free, and I am leaving this review voluntarily.
As the investigation stalls behind a wall of ethical and legal boundaries, Tim begins digging into the clinic’s past and uncovers a dark secret involving some of its patients. This element of the plot was genuinely intriguing and kept me turning the pages.
That said, the pacing occasionally suffers. Because the investigation repeatedly hits the same confidentiality barrier, parts of the story start to feel slow and a little frustrating. You almost want to shake the book and yell, “Someone just leak something already.”
The character dynamics were also a bit odd. Loyalty between characters felt strangely thin, and some reactions didn’t land as realistically as they could have. Without spoiling anything, Tim’s casual flirtations and his wife’s response to his arrest felt oddly hollow, as if everyone was operating at half emotional capacity.
Still, if you enjoy thrillers that build toward a shocking reveal, this one delivers where it counts. The conclusion packs a punch and definitely left me satisfied.
Overall, an interesting premise with a strong twist at the end—just be prepared to exercise a little patience along the way.
I received an advance review copy for free, and I am leaving this review voluntarily.
Review of advance copy received from Author
Patient’s Privilege by Rich Morvillo is an engaging psychological crime thriller that kept me turning the pages. The novel skillfully blends legal drama, medical ethics, and suspense, creating a story that feels both intelligent and emotionally layered. Morvillo clearly draws on deep knowledge of law and psychology, and this authenticity adds weight to the moral dilemmas and ethical tensions woven throughout the narrative.
I especially appreciated the way the book explores the gray areas of trust, confidentiality, and human motivation. The characters are complex and flawed, which made them feel real and added depth to the unfolding mystery. Several twists caught me off guard, and the story maintained a steady sense of tension right through to the end.
That said, I did find the storyline difficult to follow at times. Certain shifts in perspective and plot developments felt a bit tangled, and I occasionally had to pause and reorient myself to keep track of what was happening. While this complexity adds to the psychological nature of the book, it may challenge readers who prefer a more straightforward narrative.
Overall, Patient’s Privilege is a compelling and thought-provoking read. If you enjoy psychological thrillers that combine courtroom drama, ethical conflict, and unexpected turns, this book is well worth picking up—just be prepared to stay attentive as the story unfolds.
I especially appreciated the way the book explores the gray areas of trust, confidentiality, and human motivation. The characters are complex and flawed, which made them feel real and added depth to the unfolding mystery. Several twists caught me off guard, and the story maintained a steady sense of tension right through to the end.
That said, I did find the storyline difficult to follow at times. Certain shifts in perspective and plot developments felt a bit tangled, and I occasionally had to pause and reorient myself to keep track of what was happening. While this complexity adds to the psychological nature of the book, it may challenge readers who prefer a more straightforward narrative.
Overall, Patient’s Privilege is a compelling and thought-provoking read. If you enjoy psychological thrillers that combine courtroom drama, ethical conflict, and unexpected turns, this book is well worth picking up—just be prepared to stay attentive as the story unfolds.
March 4, 2026
You know that comforting phrase “doctor-patient confidentiality”? Yeah… this book said let’s test that.
Patient’s Privilege is what happens when ethics, murder, and secrets get locked in a room together and nobody leaves innocent.
We follow a psychiatrist who finds himself knee-deep in a murder investigation where professional privilege isn’t just a legal concept… it’s a ticking time bomb. And let me tell you, the tension? Immediate. Sustained. Ruthless.
The drama? Deliciously stressful.
This isn’t just a whodunit it’s a should-they-even say anything kind of story. Every decision feels loaded. Every conversation feels like it could explode a career, a case, or a life.
Characters? Messy in the best way.
No one here is squeaky clean. Everyone has motives. Everyone has flaws. And the deeper you go, the more you question who deserves protection and who deserves exposure.
Themes? Oh, we’re getting philosophical.
The exploration of doctor-patient privilege forces you to wrestle with morality versus justice. When does confidentiality protect the innocent… and when does it shield the guilty? I love a thriller that makes me side-eye my own opinions.
Plot twists?
Let’s just say I was confidently wrong more than once. The story builds carefully, then pulls the rug with a steady hand instead of cheap shock value. And that ending? Sharp. Calculated. Memorable.
Patient’s Privilege is what happens when ethics, murder, and secrets get locked in a room together and nobody leaves innocent.
We follow a psychiatrist who finds himself knee-deep in a murder investigation where professional privilege isn’t just a legal concept… it’s a ticking time bomb. And let me tell you, the tension? Immediate. Sustained. Ruthless.
The drama? Deliciously stressful.
This isn’t just a whodunit it’s a should-they-even say anything kind of story. Every decision feels loaded. Every conversation feels like it could explode a career, a case, or a life.
Characters? Messy in the best way.
No one here is squeaky clean. Everyone has motives. Everyone has flaws. And the deeper you go, the more you question who deserves protection and who deserves exposure.
Themes? Oh, we’re getting philosophical.
The exploration of doctor-patient privilege forces you to wrestle with morality versus justice. When does confidentiality protect the innocent… and when does it shield the guilty? I love a thriller that makes me side-eye my own opinions.
Plot twists?
Let’s just say I was confidently wrong more than once. The story builds carefully, then pulls the rug with a steady hand instead of cheap shock value. And that ending? Sharp. Calculated. Memorable.
March 10, 2026
I really enjoyed Patient’s Privilege by Rich Morvillo. It’s the kind of book that pulls you in with a mystery and then keeps raising the stakes as the story unfolds. The plot follows a psychologist who suddenly finds himself in serious trouble and unable to defend himself properly because of doctor–patient confidentiality. That idea alone makes the story really interesting, because he knows things that could help him—but he legally can’t say them.
What I liked most about the book was the tension around that ethical dilemma. It constantly makes you wonder what you would do in the same situation. The author’s background as a lawyer really shows in the way the legal side of the story is written—it feels believable without being too technical.
The pacing starts a little slow while the characters and situation are introduced, but once things get going the story becomes much more suspenseful. There are a few twists that kept me guessing, and I found myself wanting to keep reading to see how everything would play out.
Overall, it’s a solid psychological and legal thriller. If you like mysteries that involve ethical questions, secrets, and a bit of courtroom drama, this is definitely worth checking out.
What I liked most about the book was the tension around that ethical dilemma. It constantly makes you wonder what you would do in the same situation. The author’s background as a lawyer really shows in the way the legal side of the story is written—it feels believable without being too technical.
The pacing starts a little slow while the characters and situation are introduced, but once things get going the story becomes much more suspenseful. There are a few twists that kept me guessing, and I found myself wanting to keep reading to see how everything would play out.
Overall, it’s a solid psychological and legal thriller. If you like mysteries that involve ethical questions, secrets, and a bit of courtroom drama, this is definitely worth checking out.
May 23, 2026
First, I want to thank Rich Morvillo and Subplot Publishing for providing me with this book so I can bring you this review.
WOW!! Patient Privilege by Rich Morvillo is insanely intense, non stop eventful and fast paced right from the first paragraph! Rich grasps your attention hard and doesn’t let go til the end of the book! I absolutely love when authors do this making you want to devour the book in one sitting!
Rich did a great job picking out the cover design for the book cover. It represented the book perfectly!
My heart broke instantly when learning Timothy’s parents were killed in a car crash by a drunk driver. Having lost my Uncle to a drunk driver I know the pain all too well.
Right from the start Abner rubbed me the wrong way for many different reasons and now out of the blue his wife is gone?! So many questions as to what exactly happened and why are they questioning Timothy?!
Oh there is a wicked little twist in the story that I never saw coming with the whole Abner situation and it is good!! Rich keeps throwing us little curve balls into the mix to throw us off! It really is a good book, one that is written outside of the box.
WOW!! Patient Privilege by Rich Morvillo is insanely intense, non stop eventful and fast paced right from the first paragraph! Rich grasps your attention hard and doesn’t let go til the end of the book! I absolutely love when authors do this making you want to devour the book in one sitting!
Rich did a great job picking out the cover design for the book cover. It represented the book perfectly!
My heart broke instantly when learning Timothy’s parents were killed in a car crash by a drunk driver. Having lost my Uncle to a drunk driver I know the pain all too well.
Right from the start Abner rubbed me the wrong way for many different reasons and now out of the blue his wife is gone?! So many questions as to what exactly happened and why are they questioning Timothy?!
Oh there is a wicked little twist in the story that I never saw coming with the whole Abner situation and it is good!! Rich keeps throwing us little curve balls into the mix to throw us off! It really is a good book, one that is written outside of the box.
March 23, 2026
This is one of those stories where the crime is only the beginning of the story. As the book goes on, it becomes more about secrets, professional ethics, and the consequences of the decisions people make to protect themselves and others.
What I found most interesting was the ethical conflict at the center of the book. The story raises questions about confidentiality, responsibility, and what someone should do when following the rules might allow something wrong to continue. There are a lot of moral gray areas, and no situation has a simple answer, which made the story feel more realistic and more interesting than a typical thriller.
As more information is revealed, you start to see how all the characters are connected and how past decisions slowly lead to bigger consequences. By the end, the story felt less like a mystery about who did it and more like a story about how everything led to that moment.
I would recommend this to readers who like legal thrillers, psychological suspense, and stories that focus on ethical dilemmas and complicated characters.
What I found most interesting was the ethical conflict at the center of the book. The story raises questions about confidentiality, responsibility, and what someone should do when following the rules might allow something wrong to continue. There are a lot of moral gray areas, and no situation has a simple answer, which made the story feel more realistic and more interesting than a typical thriller.
As more information is revealed, you start to see how all the characters are connected and how past decisions slowly lead to bigger consequences. By the end, the story felt less like a mystery about who did it and more like a story about how everything led to that moment.
I would recommend this to readers who like legal thrillers, psychological suspense, and stories that focus on ethical dilemmas and complicated characters.
Review of advance copy
Received as a review copy from Booksirens, this is an honest review.
What a creative, intense story and poignant story.
Tim Shea had his world shattered when he was young; but a chance encounter with psychiatrists Abner Reeves changed Tim's life that he sought out to become a psychologist and take up a position at his mentor's clinic.
When Abner's personal is broken... all he wants to find the individual that could destroy his life; and the man sets this sights upon Tim as being responsible. Trying to convince the police, his once mentor and even to his own family that her is innocent is a daunting challenge. When stark experiences begin to affect patients at the clinic, Tim and other colleagues discover that much darker as happening within was is suppose to be a place of safety... and Tim struggles to make of what is unfolding, as it shatters a part of his sanity.
Highly recommended.
What a creative, intense story and poignant story.
Tim Shea had his world shattered when he was young; but a chance encounter with psychiatrists Abner Reeves changed Tim's life that he sought out to become a psychologist and take up a position at his mentor's clinic.
When Abner's personal is broken... all he wants to find the individual that could destroy his life; and the man sets this sights upon Tim as being responsible. Trying to convince the police, his once mentor and even to his own family that her is innocent is a daunting challenge. When stark experiences begin to affect patients at the clinic, Tim and other colleagues discover that much darker as happening within was is suppose to be a place of safety... and Tim struggles to make of what is unfolding, as it shatters a part of his sanity.
Highly recommended.
Review of advance copy
Patient’s Privilege is a mystery thriller that certainly keeps readers on their toes, though it’s not without its challenges. The story starts off slowly, requiring some patience as the plot and characters are carefully set up. Once the climax hits, the pace picks up, and the suspense becomes gripping—but the sheer volume of details and drawn-out passages can make it difficult to stay fully engaged. I found myself pushing through the book over the course of two days just to see how it would end.
The ending itself is truly unexpected and surprising, though it feels somewhat disconnected from the earlier narrative. It’s the kind of twist that shocks, but not necessarily one that invites an easy “aha” moment without rereading the book. For some, this might add to the intrigue; for others, it may leave a sense of disorientation.
Overall, Patient’s Privilege is a dense and ambitious thriller. It demands attention and patience, but rewards readers with a finale that surprises—even if it doesn’t tie neatly back to the rest of the story.
The ending itself is truly unexpected and surprising, though it feels somewhat disconnected from the earlier narrative. It’s the kind of twist that shocks, but not necessarily one that invites an easy “aha” moment without rereading the book. For some, this might add to the intrigue; for others, it may leave a sense of disorientation.
Overall, Patient’s Privilege is a dense and ambitious thriller. It demands attention and patience, but rewards readers with a finale that surprises—even if it doesn’t tie neatly back to the rest of the story.
Review of advance copy received from Author
Not to say that this book is trying to be classic noir, but there's something Philip Marlowe esque about it and the voice of Morvillo's protagonist, who's not the trite gumshoe, modernized, but definitely shares Marlowe's penchant for a distinctly middle aged, measured curiosity. That said, this book is decidedly modern and real world, down to the weather in which it is tolerable or not to ride the New York City subway and Morvillo's lead, Tim, being less of a suave antihero and more of a multifaceted modern man. It's a great, fast paced and exciting read which is fast paced enough that it never feels like there is time to put it down or get distracted, something increasingly hard to do in 2026, but also serves as a fun escape. Thoroughly enjoyable read and I look forward to seeing more of the Morvillo universe on the shelves and grabbing the next one.
March 4, 2026
I picked this book because of the author. Reading that Morvillo is a lawyer, I figured this would actually get into the law, and I would actually learn something from it.
It's a little slow at first and can become disorienting at times due to the number of characters introduced. At one point, I genuinely lost track of who was who. Past the 50% mark, the book picks up, and I am glad I continued reading through it.
The doctor-patient confidentiality was what surprised me most. I didn't know how airtight that privilege actually was before reading this. I could feel the frustration that a doctor must feel when the law literally won't let them act on what they know.
The legal grey areas are handled well in this psychological thriller. And the ending was a nice twist.
I received an advance review copy for free, and am leaving this review voluntarily.
It's a little slow at first and can become disorienting at times due to the number of characters introduced. At one point, I genuinely lost track of who was who. Past the 50% mark, the book picks up, and I am glad I continued reading through it.
The doctor-patient confidentiality was what surprised me most. I didn't know how airtight that privilege actually was before reading this. I could feel the frustration that a doctor must feel when the law literally won't let them act on what they know.
The legal grey areas are handled well in this psychological thriller. And the ending was a nice twist.
I received an advance review copy for free, and am leaving this review voluntarily.
February 9, 2026
Patient’s Privilege is a stunning debut novel that masterfully combines the pulse-pounding tension of a psychological thriller with the suspense of courtroom drama. Centered on a shocking murder and its aftermath, the story dives deep into the tangled intersections of doctor–patient privilege, criminal law, and the moral dilemmas that test both the justice system and the human psyche. Morvillo’s background knowledge shines through, bringing authenticity to every legal and psychological twist, while his storytelling ensures you’ll be hooked from the first page to the last. For fans of tightly woven suspense who crave both riveting drama and thought-provoking insight, this first novel is an absolute must-read—you won’t want to put it down.
February 22, 2026
Thank you to NetGalley, author Rich Morvillo, and the publisher for the ARC and the opportunity to provide an honest review.
I found myself somewhat on the fence with this novel. While it didn’t fully captivate me, I also didn’t dislike it. The premise held promise, but at times the narrative felt a bit scattered, which impacted the overall flow and cohesion of the story. Transitions between events and plot developments were not always seamless, making it harder to stay fully immersed.
That said, the author delivers a notable twist at the end that adds a compelling final layer to the story and leaves a lasting impression. Readers who enjoy unexpected conclusions may find this aspect particularly satisfying.
Overall, an intriguing concept with a strong closing twist, though the pacing and structure may not resonate with every reader.
3⭐️⭐️⭐️
I found myself somewhat on the fence with this novel. While it didn’t fully captivate me, I also didn’t dislike it. The premise held promise, but at times the narrative felt a bit scattered, which impacted the overall flow and cohesion of the story. Transitions between events and plot developments were not always seamless, making it harder to stay fully immersed.
That said, the author delivers a notable twist at the end that adds a compelling final layer to the story and leaves a lasting impression. Readers who enjoy unexpected conclusions may find this aspect particularly satisfying.
Overall, an intriguing concept with a strong closing twist, though the pacing and structure may not resonate with every reader.
3⭐️⭐️⭐️
March 13, 2026
Thank you to Book Sirens and Rich Morvillo for this free advanced copy of Patient's Privilege. I am leaving this review voluntarily.
Timothy Shea finds himself in a nightmare scenario - one where he's being accused of murder. The title says it all - the investigation has to account for patient's privilege an obstacle shown throughout the story.
The pacing of the book was slower than I had hoped for however, the book still kept me captivated enough to finish. The book explores gray areas of trust and confidentiality while keeping the plot suspenseful. Each character is flawed in their own way. The ending was intriguing and was a surprise. Overall, if you can get past the slow burn it was a good book to read.
Timothy Shea finds himself in a nightmare scenario - one where he's being accused of murder. The title says it all - the investigation has to account for patient's privilege an obstacle shown throughout the story.
The pacing of the book was slower than I had hoped for however, the book still kept me captivated enough to finish. The book explores gray areas of trust and confidentiality while keeping the plot suspenseful. Each character is flawed in their own way. The ending was intriguing and was a surprise. Overall, if you can get past the slow burn it was a good book to read.
Review of advance copy received from Author
Drawing on his own experience as an accomplished criminal defense lawyer, Rich Morvillo skillfully blends the tension of a criminal investigation with the complexities of the doctor patient privilege to create a gripping story in Patient’s Privilege. Morvillo weaves together the ethical dilemmas of the privilege with the suspense of uncovering the truth, creating a push-pull between justice and secrecy. Each of the characters is flawed in his own way, adding depth to the tangled web of lies and motives. The ending completely caught me off guard and left me thinking of the novel long after I finished it. Excellent read!
April 7, 2026
Wait... WHAT did I just read???
This is definitely not a slow-burn - it is filled with constant action and plot twists. The biggest twist at the end had my jaw on the floor; it was the very last thing I saw coming.
Detectives DeCarlo and Hayes annoyed me throughout the novel, because instead of detecting, they were constantly accusing. My sincerest apologies to both characters.
I would have loved to know what happened to Beth and the children at the end of the novel, but I think her last conversation with Tim said it all.
The novel read effortlessly, although there were some words I am unfamiliar with and had to look up. I can't wait for Rich Morvillo's next work!
This is definitely not a slow-burn - it is filled with constant action and plot twists. The biggest twist at the end had my jaw on the floor; it was the very last thing I saw coming.
Detectives DeCarlo and Hayes annoyed me throughout the novel, because instead of detecting, they were constantly accusing. My sincerest apologies to both characters.
I would have loved to know what happened to Beth and the children at the end of the novel, but I think her last conversation with Tim said it all.
The novel read effortlessly, although there were some words I am unfamiliar with and had to look up. I can't wait for Rich Morvillo's next work!
May 11, 2026
Micki Lynn Burnham
5.0 out of 5 stars "Patient's Privilege" is a Powerful Murder Mystery Triller by Rich Morvillo
Format: Paperback
Rich Morvillo's debut novel "Patient's Privilege" is a mystery/psychological thriller book that keeps you guessing who the murderer is.
The book is about balancing criminal defense and patients' privilege when a murder occurs early in the novel and we are caught up in the twists and turns as it becomes a "who done it" thriller. Morvillo's profession as an accomplished attorney shows thru in his detailed descriptions throughout his book.
I can hardly wait for his next novel. Keep them coming.
5.0 out of 5 stars "Patient's Privilege" is a Powerful Murder Mystery Triller by Rich Morvillo
Format: Paperback
Rich Morvillo's debut novel "Patient's Privilege" is a mystery/psychological thriller book that keeps you guessing who the murderer is.
The book is about balancing criminal defense and patients' privilege when a murder occurs early in the novel and we are caught up in the twists and turns as it becomes a "who done it" thriller. Morvillo's profession as an accomplished attorney shows thru in his detailed descriptions throughout his book.
I can hardly wait for his next novel. Keep them coming.
Review of advance copy
This was so dark and twisted. It was art imitating real life in many ways. A huge cover up for men in power- not a new concept, but one that has gained popularity in the circles of the wealthy and powerful. The red hats made it even more real in my mind. Money, power, and greed tried to frame the innocent to cover up their vile crimes. Was I vainly praying for hope in the 11th hour???? This page turner was riveting! I voluntarily read a free copy of this book provided by book sirens and am giving an honest review.
Review of advance copy received from Author
I found the book to be intriguing. There were a number of twists and turns that kept you thinking back to what previously occurred. The underlying premise of Tim's' father's guilt tied everything together. Tim's focus on his father also made you think there was a link somewhere to the killings. I liked the transition of Abner to blackmailer as opposed to Tim's father. The ending was well written and somewhat surprising.
What I liked the least was the repetition of not violating patient confidentiality / privilege.
What I liked the least was the repetition of not violating patient confidentiality / privilege.
March 2, 2026
Review of Advance Copy
Patient’s Privilege is a highly entertaining read with unexpected twists that will keep you in suspense about where it will all end up. If, like me, you enjoy reading a mystery that keeps you guessing, this one’s for you. Containing highly relatable characters, each with their own flaws and agendas, it reads almost like a procedural, but told from the point of view of a suspect rather than the detectives. I highly recommend this book. I think this is a debut novel, and if so, I look forward to Morvillo’s next contribution to the mystery genre.
Patient’s Privilege is a highly entertaining read with unexpected twists that will keep you in suspense about where it will all end up. If, like me, you enjoy reading a mystery that keeps you guessing, this one’s for you. Containing highly relatable characters, each with their own flaws and agendas, it reads almost like a procedural, but told from the point of view of a suspect rather than the detectives. I highly recommend this book. I think this is a debut novel, and if so, I look forward to Morvillo’s next contribution to the mystery genre.
April 23, 2026
Rich Morvillo’s Patient’s Privilege drew me in from the opening segment. Looking up after many minutes, I found myself far into the book. The characters’ challenges and imperfections made them authentic, interesting, and accessible. Morvillo deposits the reader directly into the protagonist’s vantage. He also furnishes fresh perspectives from the legal and mental health worlds. Escalating twists and turns make for an exciting literary experience. There is a powerful ending that I never saw coming and still astounds me. I highly recommend this entertaining book!
Review of advance copy received from Author
As a fiction author ( my name is Howard Lee Kramer, not Howard Lee Lee), I really enjoyed Patient's Privilege. It's very well written and weaves a compelling tale of murder, jealousy, and intrigue. Morvillo masterfully uses his knowledge of law and psychiatry to spin a "who done it" that will keep you guessing until the end. I was fortunate to review a pre-release draft and was so impressed I did a testimonial for the book.
Review of advance copy received from Author
In Patient's Privilege, Rich Morvillo delivers a story that is both thought-provoking and impossible to put down. His compelling narrative combines riveting suspense with profound ethical insight while exploring the complex boundaries of professional ethics, confidentiality, and betrayal within the world of psychiatry. Incisive and gripping, Patient's Privilege is a novel that is sure to linger in the mind long after the final chapter.
Review of advance copy received from Netgalley
The best kind of mystery thriller book is the ones you think you've figured out and then the twist happens and you are left with your jaw on the floor.
That is this book from beginning to end.
When some murders take place that you didn't commit but all fingers point to you how do you prove your innocence when the proof you have falls under patients confidentiality?
This is a must read. Final twist had me floored.
Thank you #NetGalley for the ARC read of this book.
That is this book from beginning to end.
When some murders take place that you didn't commit but all fingers point to you how do you prove your innocence when the proof you have falls under patients confidentiality?
This is a must read. Final twist had me floored.
Thank you #NetGalley for the ARC read of this book.
Review of advance copy
Tim is a successful psychologist at a New York practice. His mentor, Abner , is involved in a family tragedy, and Tim is left to wonder what happened. Abner’s network of friends is sketchy, and soon Tim is framed for a series of crimes. Who can help him?
There are a lot of moving parts in this book, and while the ending is satisfying , it just doesn’t fit the story. A thriller that never finds its place.
I received an advance copy for free, and am leaving this review voluntarily.
There are a lot of moving parts in this book, and while the ending is satisfying , it just doesn’t fit the story. A thriller that never finds its place.
I received an advance copy for free, and am leaving this review voluntarily.
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