Black and white thinking is undesirable to me so I was surprised by comments criticizing a compromise with the medical model. As a therapist I prefer using all the tools and perspectives available. I was impressed with Peter Kramer’s idea that certain events can affect the hardwiring of the brain. I work on resolving psychosocial issues while being open to the benefits of some medications. I have never felt that the medical model denies the need for psychosocial supports and therapeutic models. Remaining behind one fence or another is not helpful to clients.