The Unfragile Mind

Between a quarter and a fifth of young people in the UK now suffer a mental disorder. One in four adults are prescribed psychiatric medication. These numbers represent a huge and recent expansion in mental health labelling, but reveal nothing of the experience of those seeking help.

In The Unfragile Mind, Gavin draws on conversations with patients, colleagues, and his thirty years of practice to explore the chequered history of psychiatry, the nature of mental health and ill-health, and the problems – including mood disorders, trauma, anxiety and addiction – that he addresses daily.

The mind, he argues, is dynamic and adaptive – better addressed not with rigid labels and protocols, but with curiosity, kindness, humility and hope.

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Reviews

'Excellent - beautifully written, moving and wise. Everybody with an interest in mental health should read it.'

Henry Marsh

Fascinating and beautifully written

The Times

Elucidating... offers new perspectives on the maintenance of mental health

Sunday Post

Dr Gavin Francis writes with empathy, fluency and elegance about one of the most important medical topics of our times. This is a book to change lives - and save them.

Sir Ian Rankin

I thought Gavin Francis couldn’t get any better, but I was wrong. This is his best and most important book.

Bill Bryson

Gavin Francis' thoughtfulness shines in this meditation on the mind ... a clear and hopeful exploration of what it means to think and feel

Grace Spence Green

A manifesto against an atomised society... a really hopeful book

Evening Standard

A hugely accomplished piece of writing... Utterly absorbing. It has changed the way I think about mental health - my own included. A wise, humane, kind, iconoclastic and even therapeutic read. And uplifting: I finished it feeling far better about the world.

Allan Little

A truly wonderful read - I could not put the book down. I learnt a lot; it highlights how important psychiatry is in primary care, and how GPs and psychiatrists need to work closely together. Gavin Francis's clinical experience and writing are excellent, and made me wish I had written this volume. Patient stories make it really moving and bring home the message of why we practise medicine.

Dinesh Bhugra, Professor of Mental Health & Cultural Diversity, King's College London

I recommend The Unfragile Mind to all undergraduate mental health nursing students; it encourages curiosity about the clinical labels used in mental health practice, and promotes compassionate, humane thinking.

Nia Dwynwen, Lecturer in Mental Health Nursing

In this compassionate examination of mental-health issues, primary care physician Francis shares recommendations for patients as well as the doctors who care for them. . . . Amidst a minefield of sorrow and suffering, uncertainty and change, Francis prescribes resiliency, hope, and kindness in his illuminating mental health overview.

Booklist (USA)

Francis gives readers a sense of hope, observing that “for each of my patients life has a different purpose and meaning... Readers will come away with a more expansive view of the mind.

Publishers Weekly (USA)

Francis gives readers a sense of hope, observing that “for each of my patients life has a different purpose and meaning"... Readers will come away with a more expansive view of the mind.

Publishers Weekly (USA)

To call this ambitious is to break new frontiers in understatement... his prose is cadenced, vivid and crackling with telling details

Guardian

Gavin Francis invites us into his consulting room to hear the worries and woes of the patients he has seen in over 20 years as a GP

Tablet

What helps us make sense of mental health, or cope as well as possible with mental ill health? I enjoyed this book, and have recommended it widely to chaplains working in mental health in Scotland - and to some people who used to live in hospital for a time. His curiosity about the stories, lives and strengths of the people he meets comes through in the pages of this book - a trust in their capacity to cope.

Anthony Kramers, Spiritual Care, NHS Mental Health Services

What helps us make sense of mental health, or cope as well as possible with mental ill health? I enjoyed this book, and have recommended it widely to chaplains working in mental health in Scotland - and to some people who used to live in hospital for a time. His curiosity about the stories, lives and strengths of the people he meets comes through in the pages of this book - a trust in their capacity to cope.

Anthony Kramers, Spiritual Care, NHS Lothian Mental Health Services

An Unfragile Mind  is a real gift to read; a humane, nuanced exploration of mental illness, mental health and neurodiversity that provokes, enlightens and just gets me thinking. That it is written by a GP is great, that it is written honestly and vulnerably is wonderful.

Graham Morgan MBE, Mental Health Advocate with lived experience, and author of 'Start'

Another exhilarating journey into the human condition with Gavin Francis. With his trademark flair as a raconteur, he demystifies one of the key issues of our time, applying a much-needed dose of common sense to the problems these amazing minds of ours throw up.

Sally Magnusson