Actual rating: 3.5 
 A Madness So Discreet is gritty and dark, and seeks to shed light at how there's a little madness in all of us. Grace Mae has a tragic past that leads up to her being forced into an insane asylum with her a baby bump. Luckily, a visiting doctor who is working on the new study of criminal psychology likes how her mind works and breaks her out to work alongside him solving murders. Grace is an incredibly strong and smart heroine, and I really enjoyed following her story, despite how obviously dark it is. Doctor Thornhollow was another bright spot of this story; very odd but a brilliant man, who comes to care deeply about Grace and her well-being. 
 This book was entertaining, to say the least, but I would've liked to see more of the madness and darkness that was promised and I expected. It's definitely disturbing in parts, as Grace has gone through some horrible traumas, and then is helping Doctor Thornhollow solve murders in an Ohio town, but I just felt that it could've delved much deeper in certain psychological aspects than it did. 
 Also, there were two main story lines throughout the book that lacked some depth in their execution, one of them ending quite abruptly and without any real aftermath. 
 Nonetheless, I was quite entertained and was, of course, enamoured by Mindy McGinnis's writing once again.