In this deeply personal memoir, Garfinkel writes about his journey through a 40-year career and life devoted the to the understanding, care, and advocacy of the mentally ill. He takes us through the many stages in his life, from his humble beginnings in Winnipeg as the son of Jewish immigrants, to his life as the first CEO of Toronto's Centre for Addiction and Mental Health (CAMH). With candour, Garfinkel gives us insights into the life of a psychiatrist and reveals the challenges facing many practitioners, including “burn out” and the intense pain they feel when a patient commits suicide. He probes some of the most controversial subjects in the profession, such as the outrageous sexual abuse of patients. He shares his thoughts on the qualities needed to be a good psychiatrist and a good leader. Garfinkel passionately urges his colleagues to speak out, support the patients, and work toward removing the stigma of mental illness, hopeful for the day when people with mental illness are treated like anyone else who is suffering and in pain.