My guest is British psychiatrist Joanna Moncrieff for whom I have deep respect for remaining a caring, pioneering professional and a writer of important books while participating in “the system,” in this case the National Health Service of Great Britain. We examine the differences between US and British psychiatry, especially the seemingly greater opportunity for divergent opinions and at times improved care in the British system, which none the less remains deeply flawed and damaging. We share experiences and ideas on psychiatric drug withdrawal and what people really need to overcome their psychological problems as well as the harm done by psychiatry. A good solid discussion about current psychiatry and the harms of its drugs, as well as ECT.