Grace Mae has been locked away in an insane asylum for having “loose morals.” That is to say she is pregnant and unmarried. In response to her circumstances and to keep her secret, Grace has stopped speaking. Her voice returns with a violent episode that makes a terrifying situation truly unbearable when she is sent to the dark, dank cellar. In that despair, a kind doctor takes note that Grace is a highly intelligent girl with a eye for the smallest details. He decides to take her with him to a more ethical asylum in Ohio and hopefully become his assistant in processing crime scenes in a new scientific way. Grace believes she might be able to create a happy life for herself. That is until a serial killer starts to take an interest in her and someone from her past arrives in Ohio. Now, Grace must confront an evil killer and an evil man from her past. A Madness So Discreet by Mindy McGinnis is a historical fiction with bite. It is tangled tale of madness, good and evil and redemption.