Fisher argues that for capitalism to be challenged, it must be shown to be inconsistent with reality. He suggests focusing on areas where capitalist realism fails to provide answers:

: Fisher argues that neoliberal ideology individualizes mental health struggles, treating depression and anxiety as private chemical imbalances rather than systemic responses to precarious living conditions. He calls for the "re-politicization" of mental health.

In his 2009 book Capitalist Realism: Is There No Alternative? , British philosopher Mark Fisher explores the pervasive sense that capitalism is the only viable political and economic system. The book’s subtitle refers to Margaret Thatcher’s famous slogan "There is no alternative," but Fisher argues that this sentiment has evolved into a "pervasive atmosphere" that constrains thought and action. The Core Concept: A Cultural Atmosphere

Fisher defines capitalist realism as the widespread sense that it is now impossible to even imagine a coherent alternative to capitalism. He highlights the famous slogan, often attributed to Fredric Jameson or Slavoj Žižek, that "it is easier to imagine the end of the world than the end of capitalism".

: Even dissent is often neutralized by being transformed into consumer trends, such as "alternative" music or films that perform anti-capitalism for the audience while maintaining their status as commodities. Key Symptoms of Capitalist Realism

: This is the belief that everything in society—including healthcare and education—should be run like a business. Fisher notes that this leads to "market Stalinism," where the representation of work through audits and PR becomes more important than the actual work itself.

: The ideology of free-market neoliberalism is treated as a "given" rather than a political construction.

Fisher identifies several areas where the "realism" of capitalism creates profound societal and psychological crises: