Through a range of examples of practice, this chapter explores the idea of witnessing, experiencing and denoting change in the context of arts and health practices, particularly with young mental health services users, as psychiatric stigma and the internalised language of illness can be especially damaging at this crucial time of identity development. It explores how the positionality and politics of discourses of change infuse our work and can have significant implications for our participants, suggesting we look beyond existing frameworks to new conceptualisations that better resonate with the ethics of our praxis. Offering a critique of the concept of “recovery” in these contexts, this chapter posits the idea of “regeneration” as an alternative conceptual framework for describing the potential shifts brought about by engagement with applied arts.