Book Review: The New Favourite Patient by Brandan Oelofse

The New Favourite Patient is a first-person psychological drama about Elias Daniels, a brilliant, controlled senior official in the Department of Education. He has spent his life as the family’s fixer and has kept intimacy at arm’s length since childhood trauma. His friend John, a flamboyant scene-stealer, sends him to a doctor for insomnia. That doctor is Dr Amara Patel, magnetic, seductive and, as Elias slowly learns, deeply dangerous. What begins as flirtation in a consulting room becomes a relationship of manipulation, forged trauma stories, drug dependence and fraud, until his family steps in.

Oelofse, a self-published author, describes the book as a dramatic real-life story that explores emotional and psychological abuse within a relationship. He notes that public conversation about abuse understandably centres on the violence and abuse women experience, while emotional and psychological abuse of men can remain less visible, less understood or even dismissed. His stated aim is not to diminish or compete with women’s experiences, but to broaden the conversation. Manipulation, emotional control and psychological harm can affect anyone, regardless of gender, and those experiences deserve a place in the wider mental health conversation. He sees the book as especially relevant to discussing emotional wellbeing, unhealthy relationships, vulnerability and the importance of recognising when a relationship is damaging a person’s mental health. The book largely delivers on this purpose.

Its greatest strength is its portrait of how coercive control develops. Amara arrives as a rescuer, wins over Elias’s mother and grandmother, recasts every complaint as his “delusion”, and keeps him busy as her driver, banker and cleaner until his own life has dissolved. Abuse rarely announces itself, and Oelofse shows how gradually it can take hold, and how difficult it is to recognise from the inside. The late revelation that she has been living inside his digital life is chilling and well placed.

The book is also strongest where it takes Elias’s vulnerability seriously. He is not a conventional romantic lead. He is intelligent, guarded and accomplished, yet he longs to be loved, valued and safe, and his wish to “marry a doctor” is moving because it is so understandable. His history as a parentified child and abuse survivor explains why someone so capable can be so exposed. That a man like this can be trapped is exactly the book’s point.

The supporting cast gives it warmth. John is funny and perceptive in a way that cuts through Elias’s armour. Elias’s mother, Sarah, is the emotional anchor, and the quiet kitchen-table scenes between mother and son carry more feeling than many of the dramatic set pieces. The chapter epigraphs and the prologue’s reflection on love as something you cannot hold tightly give the story a thoughtful frame about self-worth and choosing yourself. Elias’s recovery is modest and believable: he blocks her number, tells the truth to his family, and ends the book finishing a coffee without reaching for his phone.

Content note: this book depicts childhood sexual abuse, coercive control, substance misuse, overdose, psychosis, pregnancy loss and explicit sexual scenes. Recommended for adult readers.

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