For more than twenty-five years, On Being a Therapist has inspired generations of mental health professionals to explore the most private and sacred aspects of their work helping others. In this thoroughly revised and updated fourth edition, Jeffrey Kottler explores many of the challenges that therapists face in their practices today, including pressures from increased technology, economic realities, and advances in theory and technique. He also explores the stress factors that are brought on from managed care bureaucracy, conflicts at work, and clients' own anxiety and depression. This new edition puts the spotlight on the therapist's role and responsibility to promote issues of diversity, social justice, human rights, and systemic changes within the community and the world at large.