I suspect that clinicians are helping the people they see, that they are seeing more people than ever, and that they are probably more effective today than twenty-five years ago. Why aren’t they bending the curve? The majority of people with mental illness are not in treatment, those in treatment receive little more than medications (which, as Dr. Hyman says, are not adequate), and many of the people receiving medications do not take them. This lack of treatment is one of the critical ways in which having a mental illness is different from having other medical illnesses.