Religious exit-also known as disaffiliation, deconversion, or apostasy-from religion is a growing phenomenon in the United States with significant individual and social consequences. In this review, I consult existing literature to clarify the relationship between the process of religious exit and the mental health of exiters. I organize this literature using Ebaugh's (1988) role-exit model to frame exiting religion as a multi-stage process of role-identity disruption, exit, anomie, and reestablishment, each of which are characterized by changes in mental health. The literature suggests that, beginning with tension between a religious system and the individual, exiters undergo a psychologically and emotionally fraught process of role-identity transformation typified by a sequence of pre-exit strains, a turning point at which exit occurs, immediate psychological and social aftermath, and a subsequent lifetime process of reconstruction. Using evidence from exiters' narratives, I argue that the conflict inherent in the process of religious exit catalyzes psychological distress, but that exit provides a mechanism for role-identity reset that relieves many of the negative mental health effects associated with religious strain.