The inefficient manner in which psychotherapy is delivered renders mental-health practitioners vulnerable to the new emphasis in health-cost containment. It is estimated that in 1995 most health-care delivery will be controlled by five or six giant health corporations. Fifty percent of the mental-health practitioners in independent practice today are unlikely to survive. Those who do survive will either have learned the new delivery system, or they will be employees of corporate health. As frightening as these predictions may seem, there is also a window of opportunity for psychotherapists to get their house in order and to meet the challenge.