Despite its challenges, behavioral health (BH) care delivery in the primary care office can be one of the most rewarding aspects of practice. Many chose primary care due to an intrinsic desire for human connection, an appreciation for human stories, and the goal of patient empowerment. With the development of technology and treatment strategies, primary care delivery must remain flexible and open to new forms of meeting patient care needs. In this rapidly changing healthcare environment, future research and clinical implementation will need to examine the intersection of integrated BH, technology, evolution of the healthcare team, and advocacy for advancing primary care for better health outcomes.