Elder abuse is one of the most heinous and vilest indicators of ageist discrimination within our current civilization. Chemical restraint, one of the manifestations of elder abuse, remains an extremely contentious and provocative topic. In the residential aged care sector, federal law stringently forbids the use of chemical restraint for reasons such as convenience, castigation, or any non-medical motive. It has been indicated for years that management of changed behaviour displayed by people with dementia, relies essentially on medications that sedate. This is despite significant data establishing these types of pharmaceuticals have inadequate usefulness and are often the source of substantial negative and mortiferous side effects. The prevalence and overuse of psychotropics still appears to be utilised with a worrying, and predictable intent to chastise, or suppress a person’s right to speak up, conveniently justified under a concealed, rationalised, and shameful guise suggesting it is a ‘reasonable’ necessity. Accountability is now required. Approaching a restraint free culture includes: • Elucidate/clarify professional responsibilities • Best practice policies/practices dictating zero tolerance. • Stringent information systems, communication and consultation services. • Understanding changed behaviour as a response to unmet need. • Identify early stages of elder abuse by regular audits/clinical reviews. • Highly trained health professionals. • Enabling and inclusive environments. • Awareness/support within the community. As a collective, humankind must be motivated to transform their penchant for fearmongering, partisan intolerance, and conditioned, preconceived bigotry towards people with dementia, thus uphold a integrated voice of activism that defends individual autonomy, supports well-being, and acknowledges each person’s right to equality and “Freedom of Expression”.