The basic goal of this chapter is to provide an appreciation of the importance of harmonizing the inner self and outer energy to encourage a state of balance and to stress the importance of attending to the outer environment as well as one's inner environment. It helps the reader to plan strategies suited to establishing a psychotherapy practice and examines elements of the physical environment conducive to psychotherapy. One of the key areas that is often overlooked when becoming a nurse psychotherapist is the specter of the work environment. Most, if not all, of the field of psychotherapy in the public (versus private) sector is currently occupied by other mental health professionals who are either social workers or professional counselors. The chapter discusses the fundamental requirements, boundaries, expectations, and the collegial relationship for becoming a nurse psychotherapist.