The Fifteen Minute Hour focuses on challenges that family physicians actually experience in daily practice. Besides the well known BATHE techniques, there are sections on physician self care, anticipatory guidance, difficult patients, along with clear guidance on brief psychotherapy within the office visit. I often use the concept of the healthy self vs. the neurotic self in teaching. During stress the system goes on tilt and the neurotic self comes to the fore. One of the miracles I see in patients is the transformation within a visit bwtween those two selves as we participate in something that allows them to get in touch with their healthy self.