Alastair Santhouse

At what point does a low mood tip over into depression? When does a distressing experience qualify as trauma? When does a cluster of symptoms indicate an underlying condition? As the conversation around mental health has moved from the consulting room to the public arena, so the concept of normal is shifting. Today, we are seeing an unprecedented rise in diagnosable conditions, in waiting lists, in diagnoses, and in medication. Yet, are we really less psychologically healthy than previous generations? In this brave, engrossing and vitally important new book, consultant neuropsychiatrist Dr Alastair Santhouse argues that the consequences of the new climate of diagnosis are immense. Drawing on his decades of clinical experience, Dr Santhouse explores our current malaise and proposes a solution - that we pull back from this diagnostic expansion, focus on the effective treatment of a core group of severe mental health problems, and de-medicalise a vast range of other normal human experiences.

'Wise, timely and eloquent... A joy to read.' Guardian What does it mean to be well? Is it something in our body? Or, is it rather something subjective - something of the mind? In this profound collection of clinical stories, eminent psychiatrist Dr Alastair Santhouse draws on his experience of treating thousands of hospital patients to show how our emotions are inextricably linked to our physical wellbeing. Our minds shape the way we understand and react to symptoms that we develop, dictate the treatments we receive, and influence whether they work. They even influence whether we develop symptoms at all. Written with brutal honesty, deep compassion, and a wry sense of humour, Head First examines difficult cases that illuminate some of our most puzzling and controversial medical issues-from the tragedy of suicide, to the stigma surrounding obesity, to the ongoing misery of chronic fatigue. Ultimately he finds that our medical model has failed us by promoting specialization and overlooking perhaps the single most important component of our health: our state of mind.