Self-awareness and mentalisation are salient ideas that play a vital role in therapeutic alliance. However, due to the subjectivity of these elements, there is a need to conceptualise therapeutic alliance so as to awaken innovation in mental health nursing and empower service users to have positive and sustainable service users outcome. Category analysis and transaction analysis have been adopted by the author to pinpoint the need to boost student and mental health nurses' awareness to reduce compassion fatigue, as well as the rate of relapse rate in service users. In recent times, there has been intense pressure mounted on the mental health service in England particularly associated with lack of resources coupled with a rapid change in societal engineering especially with regards to availability of drugs and alcohol. Hence, it becomes imperative for nurses who are at the heart of the healthcare provision to innovate and embrace change to safeguard service users as well as their own health and wellbeing.