We are blessed with a spate of evidence-based therapies for specific psychiatric disorders and cursed with all their acronyms—CBT, DBT, TFP, ERP, SIT, IPT, EMDR, and MBSR, to name a few. We cannot rely solely on these specialized treatments: there are so many that therapists cannot possibly learn them all, many patients present with multiple disorders, and many therapists treat a wide variety of patients. We need generalists alongside specialists. I learned this lesson the hard way four decades ago as a novice therapist assigned in a training clinic to conduct systematic desensitization for a patient with a public-speaking phobia. All went well until he was adequately desensitized and then merely wanted to talk with me.