FOCUS has five unique features that we think are particularly helpful. Each issue of the journal will have a guest editor, an expert in that issue’s topic area, who will write a clinical synthesis that summarizes current clinical information on the topic. Our expert editor in this issue is James W. Jefferson, M.D., Clinical Professor of Psychiatry at the University of Wisconsin. His article summarizes a clinical approach to bipolar patients and his own clinical wisdom for the treatment of bipolar disorder. We like to think of this feature of the journal as similar to the "clinical pearls" that students and residents receive on rounds from their attending physicians. Some of the topics slated for future issues of FOCUS, such as ethics and forensic psychiatry, while less directly related to clinical treatment, will nonetheless serve to keep psychiatrists abreast of critical issues in the field.