The issue of stigma surrounding mental health has received increasing attention within occupational therapy, however, the focus has been primarily limited to the individual(s) being stigmatized, rather than on the underlying processes that create and maintain stigma. This presentation will explore the concept of ‘sanism’ as a system of thought that provides a foundation upon which stigma is maintained against persons labelled with a mental health diagnosis. The Mad Pride movement will also be discussed as an alternative perspective of mental health and a way to combat the sanism and the negative impacts of stigma.