The transformation of (psychical) health into a commercial product is the background for this description of the manifold ambivalence of current transformations in the roles of patient and doctor. Whereas the role of the patient makes him to a mature and competent agent of the own decisions on the one hand and often also overstrains him on the other, the role of the doctor is being upvalued and devaluated at the same time. Psychical health is getting to something controllable that can still be increased, and the therapeutic process adapts to the orientation at the client conform to the logic of market forces. To have problems is not an everyday matter any more, while therapy is becoming an everyday issue, because investing in the own health has turned to be a social obligation.