In short, the book is best suited for a resident who might want to see what someone has tried. It is hoped that the resident would then ask himself or herself about the full conceptualization of the case and what else might be done to better assist the patient. Mixing numerous medications where another psychiatrist might hesitate to do so does not make one a psychopharmacologist. Reading the actual research journal articles and understanding the science should not be replaced by war stories, even when written by a well-known, published, and highly credentialed author. Other writings with treatment algorithms are far more useful and readily available to assist all of us as we attempt to treat patients most effectively and efficiently under the increasing pressures of managed care.