Due to time restrictions, American Psychiatric Association Trustee Drew Clemens was unable to present his written report to the Executive Council. In his report, Clemens highlighted three crucial issues: privacy, psychotherapy by psychiatrists, and practice guidelines. More than ever before privacy is threatened, he reported, not only by managed care intrusion but also by the drive by corporate computer giants and health systems developers to create huge medical databases.

Clemens chairs the APA's Commission on Psychotherapy by Psychiatrists (which is cochaired by Glen Gabbard). One of the commission's projects is to upgrade psychotherapy training in psychiatric residency training. Clemens commented on the APA Practice Guidelines for Panic Disorder, which recently was approved by the APA Board of Trustees. Earlier drafts “aroused horror among the psychoanalysts who reviewed them,” Clemens wrote. The earlier drafts focused exclusively on behavior therapy and medication. Sheila Hafter Gray, Barbara Rosenfeld, Barbara Milrod, Sherwyn Woods, Marcia Coin, and Clemens submitted extensive critiques of the earlier panic disorder guidelines, some of which eventually became incorporated into the final document. The next guidelines The American will monitor are for borderline personality disorder.