We thank Professor Coghill for his interest in our editorial, and his positive comments supporting our views. It is notable that, thus far at least, the only comments either of us authors have received have been positive despite our editorial being deliberately tendentious, and what can appear to be a world-wide promotion of cognitive–behavioural therapy for psychosis. A related point is that even if cognitive–behavioural therapy for psychosis was in fact highly efficacious, there seems to be such a dearth of clinical psychologists in the National Health Service that accessing even an initial assessment can take up to 18 weeks – a long time to wait for someone actively psychotic.