In the late 1970s and early 1980s, a minor flow of publications examined the rate of physical exams performed by psychiatrists on their outpatients. Rates were low—typically less than 10 percent (9,10). At that time, the rate of medication use in the treatment of depression was nearing 40 percent (11). Some of the papers judged the lack of exams to be a malpractice risk. They argued, sensibly, that as physicians who use medications that cause a host of potentially serious side effects, including seizures, delirium, tardive dyskinesia, and drug-induced parkinsonism, physical examinations by psychiatrists should perhaps be standard care. By 1997, the use of medication in the treatment of depression had grown to almost 75 percent (11). Despite this increase, which one might have anticipated would have triggered a swelling debate about physical exams, the minor trickle of papers on physical exams essentially dried up. Although some might argue that a physical examination distorts transference or otherwise interferes with psychiatric treatment, the relatively passive acceptance of omitting the physical exam, especially for patients being treated with medications, seems more likely to reflect socialization than sound clinical judgment.