New medications are the need of the hour for people with psychiatric disorders. Placebo-controlled randomized controlled trials (RCTs) are still the most common method to evaluate new medications. However, the use of a placebo in medicine, particularly in mental health disorders, remains a controversial topic. The regulatory authorities including DCGI (Drug Controller General of India) have raised concerns regarding the ethical and safety issues of placebo-controlled trials in acute psychiatry indications. To address this concern, IQVIA conducted an advisory board involving four leading Psychiatrists from across the country on 08 July 2023 to discuss the above and strategize to reduce the risk of placebo-controlled trials in acute psychiatric indications.