Do you need your psychiatric diagnosis? This book will help you decide. In this second, updated edition of a best-selling title, Lucy Johnstone revisits the revolution that is underway in mental health. No one doubts that people's distress is very real - but are they actually suffering from illnesses that need a diagnosis? In today's world, where mental health is a crucial topic, this might seem an odd question. And yet even the authors of the diagnostic manuals are admitting that these categories are not supported by evidence. No one has been able to identify the 'chemical imbalances' that are said to cause distress. No one can reliably distinguish one 'mental illness' from another. And the more labels and pills we offer, the faster the increase in mental health problems. Something is badly wrong. Johnstone shows that we need to change the question from 'What's wrong with you?' to 'What's happened to you?' Distress, even its severe forms, arises out of our lives and relationships. Narratives and personal stories show us this truth, whereas labels obscure it. The book ends with a new, hard-hitting analysis of the political, economic and social forces that drive the diagnostic model. In our increasingly competitive, unequal and fragmented world, we are all struggling. We are told the answer lies in finding the right diagnosis. We are encouraged to talk about our 'mental health' instead of the conditions of our lives. And increasingly, we ourselves seek out labels which reassure us that our feelings of shame, failure and difference are not our fault. Indeed, as Johnstone shows, we are not to blame. But nor will the rapid spread of diagnostic labels provide an answer. There are better ways forward. This book is about choice. It is about demystifying one of the most influential myths of our age and giving people the information to make up their own minds. It opens up hope and new ways forward for anyone who has been given a diagnostic label.

'Lucy Johnstone's insights into psychiatric diagnosis are brilliant in their clarity and incisiveness. Anyone wishing to understand the failings of our current diagnostic system could not hope for a better guide. I cannot recommend this excellent book highly enough.' James Davies, Reader in Medical Anthropology & Psychology, University of Roehampton and author of Sedated - How modern capitalism created our mental health crisis and Cracked - Why psychiatry is doing more harm than good

Dr Lucy Johnstone is a consultant clinical psychologist, author of Users and Abusers of Psychiatry (classic edition, Routledge, 2022), and co-editor of Formulation in Psychology and Psychotherapy: Making sense of people's problems (2nd edition, Routledge, 2013) along with numerous other chapters and articles taking a critical perspective on mental health theory and practice. As one of the lead authors of the Power Threat Meaning Framework, an influential project outlining a conceptual alternative to the diagnostic model of distress, she is also co-author of A Straight Talking Introduction To The Power Threat Meaning Framework (PCCS Books, 2021) with Professor Mary Boyle. She is the former Programme Director of the Bristol Clinical Psychology Doctorate and spent many years working in adult mental health settings. She is now an independent trainer, writer and campaigner.