I am writing in response to Dr. Paul Appelbaum’s cry of distress over the "Crumbling MH System" in the November 15 issue. I have practiced in the military, in private practice, for an HMO, and for two community mental health systems (in Virginia and in Maryland during its demise). I conclude that for APA to have maximum influence in any area of our specialty, it is imperative to claim and proclaim the brain as our organ of expertise. We need to learn to talk the language of the brain to one another, our patients, and the public, including our legislators. This is not to give preference to either biological or psychotherapeutic treatments, as long as we proceed to integrate them rather than haggle over hegemony.