The best books about psychiatric hospitals

The prose style in the memoir, Girl, Interrupted, is clean, concise, and unembellished. The spare writing leaves no room for self-pity, yet still tells a vivid story of mental unraveling and convalescence concurrently. Kaysen meets a cast of vulnerable characters during her nearly year-long commitment in a psychiatric hospital. They form unlikely friendships, and we get to know all of their various neuroses in a stifling environment that is at once a cage and a path to self-discovery and health. 

I was reminded of my own two commitments to psychiatric hospitals, how strange and austere the world became in those weeks, how time became irrelevant with the breakfast, lunch and dinner announcements, medication time, nightly bed checks, and the ironic “fresh air breaks,” on the back steps of the ward where I and my own unlikely cast of characters smoked cigarettes and commiserated about our unique predicaments. 

I was… show more.

This memoir of postpartum psychosis is not for the faint of heart, but is an absolutely necessary addition to the motherhood literary canon. In beautiful prose, it charts the author’s increasing mental instability following the birth of her son. These are the types of stories that should be shared more frequently to reduce the stigma of perinatal mood disorders. 

Silva’s novels about Gabriel Allon—a reluctant Israeli secret agent posing as an Italian art restorer—are my current favorite read and a serious contender for the best spy thrillers by a contemporary writer.

Each of the novels in the series works as a separate episode; in this case, Allon is lured into action to track down a Palestinian assassin.

But Allon is brought to life by recurring themes across the series, including the fact that his traumatized wife is permanently assigned to a psychiatric hospital by the car bomb that killed their son.

Silva’s meticulous writing and ingenious mixing of historical fact and fiction will appeal to literary readers. 

In England, the Victorian asylums were built as beacons of hope, infused with optimism. But by the late 20th century virtually all of them had gone, unloved and unmourned. So what happened? Peter Barham takes you through the rise and fall of England’s national mental health service.

This is the 75th anniversary edition of a book first published in 1946, a best-seller at the time, and the impetus for changes in the treatment of psychiatric patients. The narrator, novelist Victoria Cunningham, finds herself incarcerated in a corrupt and badly-run hospital with little memory of how she got there; I was disturbed by the way she had to navigate through an obscure, nonsensical bureaucracy that seems more insane than any of the hospital’s patients. Virginia is supported by her loving and loyal husband, but at times she loses track of her memories and forgets who he is. The book is frightening—especially given that it’s based on the author’s own experiences at Bellevue Hospital in New York—but also intimate and moving.

This novel is about a criminal who is sent to a mental institution because he pretended to be insane in order to avoid going to prison.

The book, beautifully written and loved by many, aims to show the conditions at some state hospitals at the time it was written. The malignant Nurse Ratched personifies these conditions. The psychiatrist, in contrast, is caring and empathic and actually tries to help his patients.

An excellent movie by the same name is based on this novel. I like the fact that the psychiatrist in the film is played by the real-life psychiatrist who was the head of the state hospital where the movie was filmed. When working on my book, I did sometimes ‘act’ by pretending to be in a scene with Margo sitting in my own office and writing the dialog of a treatment session with her. Those chapters were the easiest… show more.

Faces in the Water was first published in 1961, though it received far less attention and acclaim. The “story,” such as it is, is narrated by Istina Mavet, a shy, introverted young woman (again, based closely on the author) who, like the author, spends ten years in a New Zealand psychiatric hospital. Faces in the Water recounts long, dull years of cruelty and suffering. But don’t let this put you off—Frame’s style is marvelously poetic. The narrative is abstract in places and was at first difficult for me to get into, but once I began to see things from Istina’s perspective, the story came to life, and I found it brutally beautiful. 

This book, forthcoming from She Writes Press in 2023, is by a first-time author and mother of three who has for years counseled college applicants in Palo Alto, California, ground zero for educational anxiety. Smith combines beautiful writing, a wry comic sensibility, and indomitable courage in this all-too-timely timely book, which I was lucky to read pre-publication. She weaves together descriptions of the outlandish lengths to which some families will go to get their kids into the Ivies with scenes from her own backstage struggles to keep her children out of psychiatric hospitals. I’ve admired Smith’s incisive, delightfully shameless essays for years and couldn’t wait for her to publish this memoir, which deserves the widest possible readership.

My new book features the classic “book within a book” trope as a key plot mechanic, but I think Moxon is going for the gold medal in the category of “books within books within books,” with multiple competing characters claiming to be authors and demonstrating unnatural control over their domains, while bemused but frequently baffled readers attempt to decipher what nested reality is foregrounded and what the hell it all means regardless.

It starts off as a spiritual quest for inner-city redemption, starring the inmates of a forgotten asylum and the local parish that tries to tend to them; then an inmate reveals a deeper story of solipsistic villainy that blows away their current problems, and then at least one if not multiple authors involved throws all the cards up in the air and reshuffles them into a multiverse-spanning road movie.

All this, plus the prose is dense and thoughtful… show more.

Nellie Bly was one of the great muckraking reporters in American history. She pretends to be insane and is admitted to the “mad house.” Along the way, she exposes the horrible treatment of those suffering from mental illness, but of her treatment in a boarding home, where spoiled beef was served.

Many at the Women’s Lunatic Asylum on Roosevelt Island suffered no mental illness; they simply didn’t know how to speak English, she wrote. “I left the insane ward with pleasure and regret—pleasure that I was once more able to enjoy the free breath of heaven; regret that I could not have brought with me some of the unfortunate women who lived and suffered with me, and who, I am convinced, are just as sane as I was and am now myself.”

Her reporting led to a grand jury investigation and reforms inside the asylum.

Long before the Victorian asylums, there was Bethlem – London’s ancient hospital for lunatics. Like Broadmoor, Bethlem also looked after high-profile criminals, but within a private and charitable institution that was mostly for the capital’s waifs and strays. Bedlam gives you a sense of how mental health developed as a concept from the medieval period to the present day.

Before I read Garnethill, my perception of the typical Glasgow crime novel protagonist was that of the hard-drinking, rule-breaking, middle-aged, divorced male detective – in other words, the usual cliché. Maureen O’Donnell shatters that. A survivor of childhood abuse, she’s treated as an unreliable eyewitness and potential murder suspect due to her mental health history and turns detective to entrap and unmask a killer who’s been targeting others like her – women whose voices are ignored because they’re deemed to be “crazy”. Packed with colourful characters and raw, angry prose, Denise Mina’s debut novel has a rough-and-ready quality compared to her later work, but which is entirely suited to the subject matter – a defiant battle cry against both the men who abuse their power and those who look the other way.

The Cornish Captive makes a powerful portrayal of abduction and imprisonment, as well as describing the forces of mental stress under the elemental pressures of Cornish life of that time. Cornish society then was unbelievably brutal. I identify so strongly with the sufferings of any sensitive soul under those conditions.

Dr. Rana Awdish, a critical care physician, describes the sudden and catastrophic illness that causes a miscarriage and lands her in the ICU, in multi-organ failure, at the hospital where she works.

Her arduous recovery is nothing short of a miracle. I appreciated her perspective as a physician, trying to advocate for herself, even while she is seriously ill. She draws on stories of her patients and shares her well-founded frustrations with our healthcare system.

This powerful story will be appreciated by those who have experienced a serious illness and anyone who works in health care. 

The Oxford English Dictionary is the greatest of all dictionaries, and, as it turns out, a large percentage of its original entries were composed by a murderer living in an asylum for the criminally insane. It is an extraordinary story, and one that could easily become sensationalist or maudlin; this one never does. Relatively slim and entirely accessible, the book wears its erudition lightly; Simon Winchester narrates with seemingly effortless scholarship and a distinctly English offhand charm, deftly balancing tones that run the gamut from dark to winsome. The Professor and the Madman is a paean to the majesty of the English language, and a testament that invaluable learning can be pursued even by the most unexpected individuals, even in the most forbidding places.

Oh, this book was just magical. And the ending – wow! Everything comes together and how. The writing is just beautiful and the story is enchanting. This book transported me and wowed me - truly I wasn’t expecting to love it as much as I did. I cried so much while reading this book – the language is so poetic and lyrical. It is a story about stories and it is a masterpiece in my opinion. 

I believe there are two types of horror stories, one in which a character enters the world of the horror, and the other where the horror comes to visit. LaValle’s book is definitely an example of the former, with the title having great importance in the emerging theme of the story. Just like his excellent novella The Ballad of Black Tom, this book showcases LaValle’s mastery of authenticity and believability in characterization. I love the way LaValle mixes social commentary (the truth about poverty and institutionalization) and monster movie tropes to conjure up something surprising.

Set in 19th century England, this novel is aimed at Young Adult readers and is a reminder that a good read is simply good, whatever age bracket it’s aimed at. It resonated with my own teenage struggles to break free of restrictive expectations – even though mine were trifling compared to what the heroine Louisa has to go through! She resists the restrictions of Victorian society and the limited choices available to women, and is locked up in an asylum. It prompted me to read more about the era and discovered the shocking truth of how this really happened to women who stepped out of line…

This story is a twist on a familiar Lewis Carroll tale.

It is unsettling in a dementia-like way, spinning the reader from the known into the unknown with just enough of the old story to keep them from tipping completely off balance, hope and dark humor always alive. 

This book helped me with the twisting of fact and fiction in my own books, where I used many of my own family incidents (and fears), but gave them to fictional characters with their own generational slant.

This is Taylor’s debut novel and like my book, the time slip element takes us back to World War 1 in 1916. Louisa is admitted to Coldbrook Hall Psychiatric hospital after an accident in which she is believed to have tried to commit suicide. Whilst there she slips back to her days at a hospital treating wounded soldiers and falls in love with Robert Lovett. Not only must she find a way to remain with him, but she must find him when he is taken prisoner on the Western Front. The detailed descriptions of life in the trenches really brought the horrors of WW1 to life. Taylor has researched this area thoroughly and her vivid writing style allows the reader to experience the cold, muddy, and rat-infested conditions for themselves. 

The author’s observations on everyday life during the war add interest and are sometimes surprising, for instance, the fact that… show more.