The chapter ‘Using goals in therapy: the perspective of people with lived experience’ explores clients’ views of the benefits, issues, and challenges of using goals in therapy. The chapter is written by and provides the authentic voice of people with lived experience of therapy that work to improve mental health services. It discusses the importance of using goals in therapy, how using goals can help clients to feel in control of the therapeutic process and enable them to feel heard, validated, and involved in their care. It also explores the key difficulties and challenges of using goals in therapy from the perspective of clients and provides suggestions on how therapists can avoid or overcome these.