A first time patient comes into my office. I attentively listen to their story, ask pertinent questions, order tests when necessary, make an assessment and recommend a course of treatment. The prescription of medication is often involved. Thankfully, most people get better. But why do they get better? Was it the medication, the talking therapy or just the “tincture of time?” I would like to think that it was my careful choice of medication while the psychotherapist will want to take credit for their role. I think that the honest answer is more than the sum of these parts.