I am pleased to present an interview with Dr. Andrew Gerber, President of Silver Hill Hospital in New Canaan, Connecticut. Dr. Gerber is a clinician, leader, educator, and widely respected voice on issues pertaining to mental health care. In this interview, we discuss the current behavioral health "crisis" and the various issues impacting hospitals, physicians, patients, and... all of us. Consider this to be an excellent primer on the current state of the behavioral health industry.