Therapy? formed in Larne in 1989 when Andy Cairns and Fyfe Ewing began shaping a noisy, abrasive version of rock that drew from punk, metal, industrial textures, and underground alternative music. Bassist Michael McKeegan became central to the band's early power-trio chemistry, giving the songs a thick, grinding low end beneath Cairns' tense guitar work and darkly melodic vocals. Early releases such as Babyteeth, Pleasure Death, and Nurse established a claustrophobic sound built on feedback, jagged riffs, and psychological unease. The 1994 album Troublegum brought that intensity into a sharper, more accessible form, producing some of the band's best-known songs while retaining their bleak humor and hard edges. Therapy? never settled into one narrow lane; later albums explored heavier grooves, stripped-down aggression, experimental textures, and more direct rock structures. Their longevity rests on a restless relationship with noise and melody, plus an ability to make alienation, anxiety, and frustration sound forceful rather than self-pitying.