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Oak Park, Illinois, 1875. Isabelle Larkin's future - like that of every young woman - hinges upon her choice of husband. She delights her mother by becoming engaged to Gregory Gallagher, who is charismatic, politically ambitious, and publicly devoted. But Isabelle's visions of a happy, profitable match come to a halt when she witnesses her fianc commit a horrific crime - and no one believes her. Gregory denies all, and Isabelle's mother insists she marry as planned rather than drag them into scandal. Fearing for her life, Isabelle can think of only one escape: she feigns a mental breakdown that renders her mute, and is brought to Bellevue sanitarium. There she finds a friend in fellow patient Mary Todd Lincoln, committed after her husband's assassination. In this unlikely refuge, the women become allies, even as Isabelle maintains a veneer of madness for her own protection. But sooner or later, she must reclaim her voice. And if she uses it to expose the truth, Isabelle risks far more than she could ever imagine. Weaving together a thread of finely tuned suspense with a fascinating setting and real-life figures, Sarah Barthel's debut is historical fiction at its most evocative and compelling.