It’s precisely this double bind in which many of my colleagues and I feel caught. If we give modern consumers the efficiency and convenience they want, we also have to silence our nagging sense that we may be pandering to our patients rather than helping them. Will we do therapy in 140 characters or less, or will we stick to our beliefs but get a second job to put food on the table? It’s one thing to be more than a blank slate and even to focus on finding solutions, but will we throw away so many doctrines of our training that we cease being therapists entirely? The more we continue in this direction of fast-food therapy — something that feels good but isn’t as good for you; something palatable without a lot of substance — the more tempted many of us will be to indulge.