In questioning if it is possible to remake psychiatric care, change at the top will only arise when there is a firm demand from the bottom. The masses of psychiatric consumers who are at the very bottom are without a voice and rely heavily on those who claim to advocate in their best interest. Unfortunately, mainstream advocacy agendas are part of the well-established pro-psychiatry movement that continues to advance and grow our drug-centered paradigm. The pro-psychiatry movement deceptively promotes itself as a “national alliance on mental illness”, legitimizes psychiatric abuse, monopolizes the mentality of our lawmakers/court systems involved in issues that impact those who are labeled “mentally ill” and turns a blind eye towards the harmful effects of psychotropic drugs. The top search engine result for the term “mental illness” is the National Alliance on Mental Illness (NAMI) website. “NAMI’s top priorities is educating as many people as possible to recognize the warning signs of a mental health condition and to promote early intervention.” “NAMI Ending the Silence (ETS): Offered in schools at no cost, ETS opens a dialogue for students, families and school staff to help them feel more comfortable talking about mental health, while destigmatizing mental illness and promoting early intervention.” “NAMI On Campus: NAMI On Campus clubs are available on 57 university campuses and reach college-age students across the country. The program aims to raise mental health awareness and provide peer-to-peer support in educational settings.” “NAMI Basics OnDemand: A free course for parents and caregivers that provides fundamental information about the signs and symptoms of mental illness, and how to best support a child with a mental health condition.” The pro-psychiatry movement is comprised mainly of parental/caregiver perspectives who do not dispute the concept of “mental illness”, believe psychiatric treatment is evidence-based and believe psychotropic drugs are safe medicine. The pro-psychiatry movement is also supported by non-psychiatric medical professionals who liberally prescribed psychotropic drugs to their patients without consideration of the many adverse reactions, including worsening symptoms and long-term chronicity. Without advocates who will act in the best interest of those labeled “mentally ill”, the drug-centered paradigm of care will continue to expand and profit.