Chapter 8 consolidates themes from that emerge from chapters 6 and 7, addressing longstanding issues that have impacted on the engagement with mental health services by South Asian populations. One of the main stumbling blocks to progress has been the entrenched sense of stigma about mental health. The collectivism of South Asian societies contributed to the shared responsibility to preserve the reputation of the family in society. The exposure of mental health problems threatened this societal framework and hence they were marginalised or displaced. Many of the psychiatrists faced opposition to their specialism and even admitted to initially sharing some of these negative biases. Addressing beliefs and practices of South Asian religious and spiritual traditions is productive because it explains some of the longstanding attitudes and provides potential solutions and strategies of management. The conversations about the significance of South Asian religions in mental health care was both significant and symbolic of the need to combine systems beyond the biomedical model. The final consideration, one of greatest importance, is the seminal role that South Asian psychiatrists have in unpicking issues that explain cultural concerns within the groups in which they interact.