This book offers reflections on emerging issues in psychiatry today, told through the lens of interviews conducted with patients of the former Forensic Psychiatric Hospitals in Italy. Using narrativization, this book brings together clinical cases told in the first person which have allowed the author to develop insights into these issues. The author considers the patient/offender who poses a series of questions about mental illness itself, its origins, the factors related to its onset, such as substances, differential diagnosis, treatment paths (both pharmacological and rehabilitative) and the cultural factors that may influence the outcomes, providing invaluable insights for clinicians, researchers and students of Psychiatry and Psychology in international settings.