After more than three decades of clinical work in psychiatry, I have increasingly wondered whether the centre of psychiatric practice is, in some settings, shifting—from the person who suffers toward the disease that is diagnosed, the drug that is prescribed, and the economic structures surrounding healthcare. This is not an argument against diagnosis, medication, neuroscience, or evidence-based psychiatry. It is an argument for critical psychiatry: a willingness to examine the assumptions, limits, incentives, and unintended consequences of our own profession. In clinical practice, I have encountered patients who arrive after prolonged treatment elsewhere carrying multiple diagnoses and multiple medications, sometimes with substantial treatment burden. Such observations are clinical impressions, not prevalence data, and should not be generalized without systematic study. Yet they raise an important question: are we sometimes treating the accumulated history of psychiatric labels and prescriptions rather than the person sitting before us?