Psychiatrists' perceptions of clinical populations will not likely represent the nature of drug use in the broader Iraqi population. Nor can the data here speak to the perceptions of the 17% of Iraq's psychiatrists who did not complete the survey, who may differ in some unknown respects from those who responded. But this study's results can reasonably be taken to show that it is legal rather than illegal substances that are generating significant misuse problems among most Iraqi patients. This is not surprising given the extensive looting of pharmacies, diversion of pharmaceuticals, and fraud in pharmacies (2). More stringent monitoring of the pharmaceutical system at all levels will be necessary to lower the population's exposure to potentially addictive drugs.