In order to realize the development of psychiatry in general hospitals without psychiatric wards, it is crucial to increase the importance of psychiatry through consultation liaison activities. It is also important to emphasize an educational and collaborative system that enriches the capacity of primary care teams. We need to attempt new projects, such as outpatient management, in order to cope with the annually increasing demand and the limited number of psychiatrists, and also in order to maintain our physical and mental health. Such attempts will make it possible for general hospital psychiatry to play a central role in the local medical community. We can build the attractive and sustainable status by such a system.