What, if anything, can be done to help promote this point of view as an alternative approach to mental (and societal!) health at a general, grassroots, or client level. My very poor experience with current and traditional approaches to mental health over more than 50 years, trying to find diagnosis and/or treatment, has convinced me that examining and experiences with social and environmental causes can help both the individual and — if people other than the “mad” are willing to look at it — society in general. My life has been pretty much a wreck in the last 20 years, despite seeking treatment and my own best efforts. I am not wanted, I do not fit in, although I can fake it sort of OK. Because I am not wanted, I do not want to be here, to be alive, either. Because faking it still, at 74, in order to fit in, though marginally, is no life for me. I have two adult children and it is my understanding that for me to voluntarily end my life might not be best for them. I’m not so sure about that. I’m also not at all sure that ending my life 20 years ago, as I strongly considered except for the possibly more harmful effect on my children, might not have been the best for everybody. But I didn’t, because I could not know for sure, and still can’t. I’ve made a little progress with the help of an informal, general support group I lucked into. I’ve tried other support groups that weren’t so helpful. But for years my sense has been that the causes of my difficulties were social, and my adaptation to the social environment of my early life, and some “stuckness” there. Individual therapy did little to help with that, I now believe, despite what they have claimed. And, instead, perpetuated some stuckness or made it worse. Maybe not so much now as in the past, but there is still far too much emphasis on therapy as the thing to do, IMO, if someone is having difficulties, and too little serious research into how helpful it is. And/or when it fails, and why, and what else might be done to help people in these situations. Humans are social animals, like other primates. It’s time that the biological determinants of mental illness take seriously the social environments in which difficulities arise, are perpetuated, and in which people might heal.