Is there a perfect storm forming on the horizon? More people are being treated for mental illness in the primary care sector, most psychotropic prescriptions are written by nonpsychiatrists, off-label prescribing is increasing in cases for which there is little evidence of effectiveness, and referrals to specialists are becoming ever more difficult. Don’t psychiatrists bear responsibility for mental health services that are delivered by nonpsychiatrists? I believe that the need to integrate psychiatry into the primacy care sector is not an option but a necessity, not only because it will improve access, reduce disparities, and increase effectiveness but also because as professionals we have the moral responsibility to continuously improve the quality of mental health services, regardless of where they are provided. With knowledge comes power, and with power comes great responsibilities.