Accountability, credibility, and control  Over the past 20 years, the push for accountability has become increasingly prominent (payers, administrators, regulators, clients)  However, therapists have not actively asserted what we know about effective therapy  Consequently, therapists have lost significant credibility and control over clinical practice  Instead, payers, regulators, administrators, and business stakeholders (e.g., pharmaceutical companies) have dictated clinical best practices , including treatment approaches/models and documentation.