The profile of private psychological practice is going through significant changes with all other forms of health care delivery. Adaptation to these changes is demonstrated by the efforts of one cognitive behaviorally oriented, diversified private practice, and professional training group. In addition to traditional individual treatment issues, consultation with state agencies, private hospitals, managed care, and psychiatry is discussed. The importance of using empirically validated short-term treatment approaches is emphasized as a significant feature for the survival of the private practitioner.