The mental health nursing profession has experienced various challenges since its inception. This
discursive review considers these challenges, including how mental health nurses have and can
continue to overcome adversity as individuals and as a profession. The discussion examines the
influence of the profession’s historical involvement in institutionalization and coercive care; the
continuing impact of stigma; and the increasing demand for mental health services, amidst chronic
staff shortages. Collectively, mental health nurses must harness strong therapeutic relationships,
intra- and multi-disciplinary collaboration, personal and professional resilience, education that
prepares them for the future, and sector-wide planning and innovation, to respond positively to
these challenges. These approaches will support mental health nurses to overcome adversity and
achieve positive outcomes for the profession and people with the lived experience of mental illness.