In response to the request to write about those changes that have occurred in my professional outlook and practice that have come with age, I have recounted some of the experiences I have had that seem to have contributed to these changes. There are a couple of important themes that have run through my professional experiences as a therapist, supervisor, teacher, and researcher. One of the themes has to do with my psychotherapy orientation. The other involves the tension that I have experienced between research and practice. I begin by discussing each of these, and then go on to highlight some of the more general lessons learned over the years, including coming to be more myself as a therapist, developing a broader perspective on life, being more clinically integrative, and learning to be accepting of what therapy can and cannot do.