“I’m at a point in my career when I’m tired of this being a secret. I’m tired of people debating if I’m a real person or if I’m three men,” the author known as Freida McFadden said this week, formally acknowledging the name behind the bestselling thrillers: Dr. Sara Cohen.

The news — confirmed in a recent television interview and discussed previously on the Open Book podcast with Jenna Bush Hager — ends years of speculation about the pseudonymous writer whose high-concept page-turners have become a Hollywood feeding frenzy. McFadden said she long used a pen name, a wig and glasses to keep her writing life separate from her medical career; she stepped back from full-time clinical work in late 2023 to focus on books and adaptations.

Colleagues learned earlier than the public, she told E! News, after an Instagram post circulated inside the hospital; they reportedly kept the secret and supported her dual careers. Fans, meanwhile, pieced together biographical clues — from a Harvard undergraduate degree to a medical residency and a specialty in brain injury medicine — and pushed the mystery into mainstream headlines as studios optioned more titles.

The Housemaid film, starring Sydney Sweeney and Amanda Seyfried, helped propel that curiosity; the adaptation was a major box-office success and opened doors to additional deals. Several other McFadden titles are now in studio pipelines: The Teacher at Apple Original Films, The Tenant at Amazon MGM, and The Surrogate Mother at Sony Pictures, with multiple projects in various stages of development and sequels already discussed.

There’s a PR and legal wrinkle to consider now that Cohen’s identity is public: studios and producers typically prefer a clear, named author attached to projects for credit, promotion and rights management — so her reveal may actually accelerate how adaptations are marketed and who sits at the negotiating table. This is where a secret can change from a personal shield into a strategic asset for the writer’s expanding screen universe.

Reaction has been mixed but mostly supportive. In a post to a private fan group (where she occasionally engages directly), Cohen urged followers to “BE KIND,” pushing back against online criticism aimed at performers in her adaptations. Social feeds showed fans celebrating the reveal, while a smaller faction debated the ethics of anonymity in celebrity culture.

What’s next: Cohen has announced multiple forthcoming books and several adaptations in production; expect studios to firm up casting, release plans and marketing calendars in the months ahead. As for the author herself — she says she will continue to guard aspects of her personal life even as she claims her real name on the record.

Will she embrace more public appearances now that the secret is out? Time will tell — but one thing is clear: the Freida McFadden brand has hit a new phase, and the industry will be watching how a once-hidden author manages the spotlight.