JO RAMSDEN is Consultant Clinical Psychologist and Clinical Lead for Yorkshire Humberside Personality Disorder Partnership. Jo was a contributor to the Power Threat Meaning Framework, a resource published in 2018 that drew on psychological, biological and sociological knowledge to outline a conceptual alternative to traditional diagnosis-based models of mental health and distress. SHARON PRINCE is Head of Psychology and Psychological Therapies for Leeds and York Partnership NHS Foundation Trust, and Clinical Lead for Leeds Personality Disorder Services. JULIA BLAZDELL is Service User Consultant at West London Mental Health Trust Managed Clinical Network, and Education and Training Consultant at the Institute of Mental Health.