The band's song "More Time" was featured in the soundtrack of the 2007 film P.S. I Love You, and numerous Needtobreathe songs have been used on television coverage and for movies. ESPN used the song "Streets of Gold" from The Heat during the network's coverage of the 2007 Ford 400. The show "The Hills" used "We Could Run Away". Fox TV promoted its Monday night lineup for the shows Prison Break and K-ville with the song "Nothing Left to Lose". Fox Sports used "Don't Wait for Daylight" during their coverage of the 2006 World Series. The song "Shine On" has seen the most uses. The MTV show "Newport Harbor" used the song, as well as the movie Employee of the Month.

Serena Ryder has already left an indelible impression in Canada, where her album If Your Memory Serves You Well has been certified Gold and contributed to her winning the 2008 Juno Award for Best New Artist. Her newest release, is it o.k. has also been certified Gold in Canada and was quickly followed by winning the title of Adult Alternative Album of the Year at the 2009 Juno Awards.

For American listeners, this sets the stage for is it o.k., her full length debut for Atlantic Records on which Ryder paints a self-portrait that’s bitter in betrayal in “Sweeping the Ashes,” furious and yet not without affection in the hard-hitting “Little Bit of Red,” teasingly romantic on “Brand New Love,” struggling to understand another’s pain on “Hiding Place,” even careening through cascades of contradictory emotion, almost from one word to the next, on “All for Love.”