This paper contends that alternatives to pharmacological
interventions in working with people who experience hearing voices
are often seen as secondary or adjunctive to the use of drugs. The paper assesses that these
alternatives are the last and often best hope of relief for many people who are tormented by their experiences with voices. The paper discusses several
interventions in this area with a focus on cognitive behavioural therapy. The paper also examines distraction or counter-stimulation techniques. The alternatives to pharmacology in working with people that experience hearing voices are explored and expected outcomes compared.