The field of cognitive rehabilitation has reached a point where financial resources are meager compared with the 1980s. Although there are benefits to more streamlined treatment, we now must be particularly efficient if we are to be helpful. We have the advantage of all that we have learned from our experiences in earlier decades, and we also now have a growing body of research to inform us of the degree to which some of those treatments are effective, but we are pressed to use our time with patients in the most efficient manner to provide adequate treatment. To rise to the challenge, it is critical that we be particularly thoughtful about our approaches to treatment.