In today's market, clinical practitioners have complex and demanding jobs. This survey study identified contemporary occupational hazards, rewards, and coping strategies of 208 psychotherapists and the interrelationships among these variables. Unexpected post hoc gender differences revealed that female therapists reported significantly more rewards and coping strategies than men. Suggestions are offered for how practitioners can promote their own job satisfaction. Implications for supervisors and trainers of psychotherapists are also discussed.