An outstanding problem with neurotics in the psychiatric out-patient clinic is that of coping with the pressure of numbers whilst continuing to afford an adequate degree of therapy. Views do evidently vary enormously as to what constitutes adequate therapy. Within the same clinic it is possible to find one psychiatrist habitually seeing neurotic patients at weekly returns, and another seeing comparable patients once or twice only. The higher frequency of interviews gravely limits the case load and is only slightly preferable to the other extreme in which the service provided is discouraging both the patients and home doctor. It might be agreed that if the symptoms which the patient first presents are thought capable of abatement, then therapy should be afforded through the clinic until some reasonable moderation of the disability is established and progressive. It is presumably also justifiable to continue clinic attention where such work may be expected to prevent or much to limit an otherwise certain deterioration.