In this issue of Psychiatric Clinics, guest editors Drs. Ryan J. Dougherty and Joanna Smolenski bring their considerable expertise to the topic of Ethical Issues in Contemporary Psychiatry. Top experts examine the tensions between traditional clinical approaches and ethical frameworks in light of emerging social movements and technologies, covering various topics from clinical decision-making to diagnostic categories. By engaging with these debates, the issue deepens our understanding of psychiatry’s contemporary landscape and offers insights into how to strengthen patient-centered practices, with implications for both policy and practice.