Book Review: Hour of the Heart

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Reviewed by Michael McManus, MSW, LCSW 

Michael McMannus

Irving Yalom’s “Hour of the Heart” isn’t your typical therapy manual-it’s a raw, almost confessional dive into what makes human connection tick, even when time’s running out. Picture this: a ninety-three-year-old psychiatrist, facing his own mortality, decides to ditch long-term therapy for intense, one-session encounters. Each chapter feels like Yalom’s pulling you into a dimly lit room, where he’s just finished a profound sixty-minute talk with someone on the edge – a grieving widower, a suicidal teen, even a celebrity hiding behind a facade. What’s gripping is how Yalom leans into vulnerability, sharing his own fears of aging and irrelevance.

Take the story of Mark, who breaks down after Yalom admits he’s scared of losing his mind; that raw honesty flips the dynamic, turning the session into a mutual rescue. Yalom’s style is deceptively simple, even conversational, like he’s sitting across from you over coffee, but it’s packed with insight. He nails why here and now matters: in one hour, you can unearth a lifetime of buried pain if you dare to be real. The book stumbles slightly with repetition; those existential themes circle like vultures, but it mirrors life’s stubborn loops, so it works. At its core, it’s about the fleeting magic of being seen, not fixed. Yalom proves that you don’t need months to change a life; one genuine moment can do it. If you’ve ever craved deeper connections, this’ll hit you like a quiet epiphany. Highly recommend.

Michael McManus  LCSW  is a psychotherapist in private practice in Santa Rosa Beach, Florida. Michael and his wife Angela, also a therapist, raised four children and enjoy hiking, biking, yoga, walks on the beach and in the woods, reading and visiting with their adult children. Michael can be reached by phone or text at 850-837-0123 or at:Psychotherapy30A.co