Explore the ethical considerations and challenges in treating cardiology patients with mental health and addiction issues in this cardiovascular grand rounds presentation. Delve into the complexities of clinical ethics, values, and common traps in healthcare decision-making. Learn about the importance of addiction medicine consult services and how to approach patients with compassion and understanding. Discover key questions to ask patients, strategies for avoiding ethical pitfalls, and the concept of medical utility versus futility. Gain insights on informed consent, adapting to changing circumstances, and understanding the sensitive nature of the brain in relation to addiction and mental health.