America's romance with certainty leads to a belief that substances improve life and fits with the New Psychiatry. It's use of psychotropic medications to treat an array of mental illnesses changes evaluations, treatment and emergency coverage. The rising abuse of its prescription drugs alters the campus party scene, and challenges pretenses about use and abuse at most schools. Campus mental health professionals have an opportunity to encourage an appreciation of uncertainty and the need for intimate relationships that are so necessary for human growth. They are most apt to do so if they have a measure of financial independence.