Psychiatrists are primarily suited to working within the boundaries of organic medical propositions and tenets, meaning they are trained as medical professionals addressing physical health issues. Psychiatric Case Management, as a counseling approach can be used by psychiatrists. However, it can also be used by psychologists, mental health counselors, marital and family therapists, social workers, and other mental health professionals when there is involvement of a physician overseeing medical treatments. This chapter provides a broad view of psychiatric practice, and it describes many organic medical diagnostic and treatment approaches. It also addresses types of psychotherapy, approaches to treatment of specific mental disorders, and psychopharmacology. The chapter focuses on topics such as medical assessment, psychiatric interviewing, mental status assessment, psychiatric diagnosis, psychiatric report writing, and medication management. The counselor role in psychiatric case management is threefold: a counselor must be a monitor, educator, and problem solver.