This is a paper included in the proceedings of the Living and Learning, Learning and Teaching: mental health in higher education conference held at Lancaster University in 2010. Influential social and recovery models form key mandates for mental health education today. These models advocate a shift from traditional notions and approaches linked to mental illness, to service users’ active empowerment and control over their lives and symptoms. This short paper questions, however, how far the emphasis of these models on autonomy takes account of service user experiences. May be of use in informing thinking when planning the content and emphasis of teaching about mental health.