We speculate about possible trends in psychotherapy and discuss how cognitive therapy might relate to these trends. In particular, we elaborate five predictions: (1) psychotherapy confronts the issue of specificity versus nonspecificity at several levels of analysis; (2) psychotherapy responds to ever-increasing pressure for research and accountability; (3) different systems of psychotherapy cross-fertilize further; (4) delivery systems for psychotherapeutic knowledge become more diverse; and (5) psychotherapy pursues closer connections with basic psychological science.