In a recent open letter to psychiatrists,1 Andrew Leech, a general practitioner (GP) from Western Australia, eloquently describes the challenges GPs face and the frustration they experience when their referrals to psychiatrists are (all too often) rejected. He concludes the letter with his wish to work together to make the lives of patients easier. In response, a psychiatrist from New South Wales, Angelo Virgona, acknowledges Leech's frustration and describes the potential causes and possible solutions for the mental health crisis.2