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Psychologists are increasingly dissatisfied with managed care companies. While many practitioners would prefer to develop a fee-for-service practice to improve clinical care and income, there is limited available information on how to establish one. This book illustrates 50 strategies for growing a practice that is not managed care or insurance dependent. Contributors describe how they successfully carved out a niche in areas as varied as family and divorce counseling, teaching and supervision, healthcare, product development, and organizational consulting. In each vignette, the author describes his or her practice arrangements, training experiences, primary activities, pros and cons of this career path, effective business approaches, and also recommends professional resources, including books, journals, web sites, and societies. This book provides plenty of ideas for early career psychologists and graduate students interested in starting a private practice as well as seasoned practitioners who want to develop alternative income sources to minimize dependence on insurance companies.