In 1875, Simone Gastrell is conveniently committed to Long Meadows Asylum by her adulterous husband. Distraught but not defeated, she meets the silent women whose lives within the institution are ordered and defined by men. Alice Semple, a herbalist and wise-woman, does not speak, but gives testimony in her notebook. Phoebe Baines, a fragile, damaged young woman, lives within the soundless universe of her interior monologue. In a powerless world, relieved only by precious hours spent in the Airing Courts and gardens, the three women come together in unvoiced friendship. When life behind the asylum walls grows even more dangerous and brutal, they find their voices and use them to fight for survival. In their story, readers will hear the echoes of today, of the women locked away in our institutions, often brutalised, still silenced and living invisible lives.