This chapter was inspired by the work conducted by Psychologists Against Austerity and their initial briefing paper (2015). The aim is to build on their work by improving the evidence base and to attempt to offer a catalyst of hope for those working in a climate affected by austerity. Within this chapter we will outline our research which explored the impact of austerity on the role of psychological therapists. Finally, case examples will be presented which endeavour to illustrate how services can integrate compassion, creativity and community-based approaches to ensure that the changing needs of services users are met.