A recent editorial in Psychotherapy and Psychosomatics hopes to call attention to iatrogenic harms that service-users can experience as a result of psychiatric treatment. They also introduced paradoxical drug effects, which are mood alterations opposite to the clinically desired outcome, and pendular drug effects, which initially proceed in the direction intended but do so to such an extent that the individual’s state moves to the opposite condition for which the drug was prescribed. The authors argue instead for a concentric model of pathways, wherein psychological, biological, social, and iatrogenic factors form a concentric web, all contributing to the clinical condition. The authors argue that a commitment to evidence-based medicine and the marketing of the pharmaceutical industry are currently the primary drivers of psychiatrists’ decision-making. Instead, the authors urge psychiatrists to use their already complex clinical judgment and interviewing skills to understand iatrogenic components of psychopathology.