The third section focuses on options and approaches that will be helpful in maintaining a successful psychotherapy practice within the context of current medical practice and the constraints of managed care organizations. The discussion ranges from now to the future and includes the concept of practicing without managed care contracts in a group or other structure. The authors describe what they call "coordinate solutions," where "the interests and abilities of the psychotherapist meet the requirements of most MCOs." These include developing special skills in working with patients with alcohol and substance abuse problems, patients in need of disease management, older adults, children, adolescents, HIV/AIDS patients, and patients with depression. They also discuss the development of special techniques such as hypnosis, neurolinguistic programming, eye movement desensitization and reprocessing, group therapy, and being trained in the practice of psychopharmacotherapy through the Department of Defense. (The authors acknowledge that psychiatrists generally disagree with the concept of nonphysicians being granted prescription-writing privileges for psychotropic agents.) This section closes with a discussion of options of flight (practicing outside of health maintenance organizations altogether) or fighting back against managed care; they provide a list of organizations that already exist for this purpose.