Psychiatrists have mixed feelings about working with the mass media. There are many reasons to respond to reporters or proactively reach out to the media, including reducing stigma and other barriers to seeking and complying with treatment and counteracting media misinformation and distortion. This article addresses ways to increase positive outcomes when psychiatrists respond to calls from reporters, make proactive efforts to influence behaviors or policies, or take advantage of breaking news to educate reporters and the public. The article also reviews examples of planned media campaigns.