This chapter returns to the asylum to understand the experiences of female psychiatric patients, investigating whether this reflected the gendered theories set out in textbooks. Taking as a case study Scotland’s Crichton Royal Institution in the 1870s and 1880s, it examines the influence of institutional factors on the treatment of women at the asylum. Reading case notes and other clinical records alongside patients’ periodical writing, this chapter demonstrates that the primary factor in decisions made about all patients was the moral management methodology which the CRI employed. This methodology did reinforce gendered standards of good behaviour for female patients, such as quietness and meekness. However, it also meant that patients engaged in therapeutic employments which allowed them a significant amount of agency. One such employment was the asylum’s periodical, the New Moon, which patients wrote, published and edited. Crucially, women were included in this intellectual endeavour and the periodical gave them a public platform of surprising equality. This suggests that the experiences of nineteenth-century female asylum patients were nuanced and depended on the context of the institution.