Therapy? are a Northern Irish rock band from Larne, formed in 1989 by guitarist-vocalist Andy Cairns and drummer-vocalist Fyfe Ewing. Therapy? recorded their first demo with Cairns filling in on bass guitar. To complete the lineup, the band recruited Larne bassist Michael McKeegan. The band signed with major label A&M Records in 1992, for which they released four albums, most notably Troublegum in 1994 and Infernal Love in 1995. Ewing's departure in early 1996 preceded the arrivals of his replacement Graham Hopkins, as well as Martin McCarrick on guitar and cello. Neil Cooper replaced Hopkins in 2002. McCarrick departed in 2004, and the band have remained a three-piece ever since.

Therapy? are currently signed to UK independent label Marshall Records. The band have released 14 studio albums and sold over two million albums worldwide.

While attending a charity gig at the Jordanstown Polytechnic in 1988, Andy Cairns noticed Fyfe Ewing playing drums in a punk covers band. The two spoke afterwards and agreed to meet for rehearsal in Fyfe's house in Larne with Andy playing a small practice amp and Fyfe playing his kit with brushes. In April 1989 they recorded a four track demo tape (Thirty Seconds of Silence) with Andy playing a bass guitar borrowed from Fyfe's classmate Michael McKeegan. Deciding to play live, they recruited McKeegan and played their debut gig at the Belfast Art College supporting Decadence Within on 20 August 1989. They followed this up with another four track demo tape (Meat Abstract). Their sound was becoming highly influenced by artists of the indie rock movement such as The Jesus Lizard, Big Black, and The Membranes as well as new beat disco acts such as Belgian outfit Erotic Dissidents.

Therapy? released its first single, called Meat Abstract in July 1990. The single was limited to 1,000 copies and released on the band's own Multifuckinational Records. During the summer of that year, the band made its first tour through the United Kingdom with The Beyond, catching the attention of influential DJ John Peel along the way. The band's early years followed the familiar pattern of hard graft on the local alternative music scene, with Cairns often putting in a full day at the Michelin tyre factory (where he worked as a quality controller), then speeding across Northern Ireland in order to make it to gigs. The band also took whatever support slot they could, opening for the likes of Loop, Ride, Teenage Fanclub, Inspiral Carpets, Tad, Fugazi and Ned's Atomic Dustbin. Therapy? quickly came to the attention of local music fans with their distinctively uncompromising style. Their use of guitar feedback as a "fourth instrument" and unconventional song structures, combined with a darkly original approach to lyrics and imaginative use of samples pulled from cult movies and obscure documentaries, led them to be spotted in 1990 by London-based independent label Wiiija Records. The move was helped by Lesley Rankine of Silverfish, who passed the band's first single on to Gary Walker of Wiiija.

The band's first album, July 1991's Babyteeth, and its January 1992 follow-up, Pleasure Death, were successful enough to earn the band a major label deal with A&M Records. Both albums were underground successes, hitting number 1 in the UK Indie Charts. The attention led to support slots with both Babes in Toyland and Hole on their respective UK tours. A compilation of the two albums titled Caucasian Psychosis was prepared for the North American market, and the band embarked on their first U.S. tour in October 1992.

Their debut A&M record, Nurse, made its way into UK's Top 40 Album Chart in November 1992, while lead single "Teethgrinder" became the band's first Top 40 single in both the UK and Ireland. The grunge revolution was in full swing, with US outfit Nirvana leading the way. Predictably, the media began to draw comparisons between the two bands. The heavy guitars and inventive drumming that was swiftly becoming Therapy?'s trademark led them more towards the grunge camp than away from it.

If there was one true "breakthrough" year in the band's history, it would almost certainly be 1993. The release of the Shortsharpshock EP catapulted Therapy? into the Top 40, peaking at nine, featuring the lead track "Screamager". The single led to the first of several appearances on the venerable UK music show Top of the Pops. Two more UK Top 40 EPs Face the Strange and Opal Mantra followed, as the band toured heavily on the European festival circuit, made two separate jaunts to the United States in support of Kings X initially, and then both Helmet and The Jesus Lizard, and played their debut shows in Japan. Compilations of the three EP's were released in the U.S. and Japan (Hats Off to the Insane), and in Europe (Born in a Crash).

1994 saw the release of the commercially successful Troublegum album in February which earned the band appearances at a string of rock and indie festivals, including Reading (third consecutive appearance), Donington and Phoenix in the UK alone, as well as a clutch of top 40 singles. It achieved a string of nominations in end-of-year polls, including a Mercury Music Prize nomination, and success at the Kerrang! Awards.