Psychiatrists who practice in medical settings are often called on to provide their recommendations in medical situations with challenging ethical dilemmas. Although not necessarily trained ethicists, psychiatric consultants are often expected to be expertly versed in the field of medical ethics. It is thus imperative for psychiatrists working in medical hospitals to be familiar with important ethical concepts and questions and have a framework within which they can conceptualize their cases. In this paper, we review the “Four Topics Method,” which provides a framework to help with ethical decision-making strategies for patients in a medical setting. We then discuss three cases using this framework, outlining the ethical dilemmas in question and highlighting important themes.