This chapter explores the intersections of madness, neurodivergence, and disability within social justice movements. It examines the rise of positive mental health narratives and advocacy aimed at challenging negative perceptions and promoting dignity. Key movements discussed include Mad Pride, Disability Rights and Justice, and the Neurodiversity/Neurodivergence movement, each addressing depathologization and disability justice in distinct ways. The historical shift from mystical and moral interpretations of madness to a medicalized view is outlined, along with the critical perspectives emerging from the 1960s and the growth of Mad Pride, which emphasizes empowerment and challenges traditional medical models. The chapter also explores the Neurodiversity movement’s call for acceptance of neurological variations and the Disability Pride movement’s goals of combating institutionalization and advocating for rights. It critiques the social model of disability and the impact of classificatory looping and argues for a radical social constructionist view of disability. The chapter concludes by proposing collective efforts to reform systems perpetuating the construction of disability, madness, and neurodivergence.