Repeating and expanding Delphi polls conducted during the past 30 years, the authors empaneled 70 psychotherapy experts to forecast psychotherapy trends in the next decade. Mindfulness, cognitive-behavioral, integrative, and multicultural theories were predicted to increase the most, whereas Jungian therapy, classical psychoanalysis, and transactional analysis were expected to decline the most. Technological, self-change, skill-building, and relationship-fostering interventions were judged to be in the ascendancy. Internet programs, telephone therapy, and master's-level professionals were expected to flourish. Forecast scenarios with the highest likelihood centered on expansion of telepsychology, evidence-based practice, pharmacotherapy, and masters-degree practitioners flooding the job market. Four themes seem to be driving these changes: technology, economy, evidence, and ideas.