It’s been a while between books set in psychiatric facilities. There seemed to be a spate of them for a while. Books about current or former ‘institutions’ featuring some of horrific practices of the past and those remaining today (well, at least in the more sordid settings popping up in crime fiction and thrillers).
The Patient by Jasper DeWitt is written as if a first-hand account (via online forum) by a Ivy League graduate who—for various reasons—accepts a posting at an old and obscure mental health facility in Connecticut.
Our lead Parker uses initials and pseudonyms to talk about a patient and colleagues he comes across at the facility. He’s arrogant and he’s open about—what he believes to be—his superior intelligence and insight. It could make him unlikeable but he also acknowledges this arrogance and is honest in revealing his misjudgements and failings.