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Drawing on personal and professional experience, this article explores the debate aorund the relative efficacies of drugs and psychotherapy. It charts the demise of psychotherapy as a preferred psychological intervention in the medical setting and provides extensive evidence of the ideological motivations underpinning the entrenchment of a pharmaceutical-based model in the treatment of mental health issues. It spells out the benefits of psychotherapy and advocates resistance to the drug-based policies that currently dominate.