In this chapter, we speculate on near to immediate future trends in clinical psychology and make ten predictions in the broad areas of training, diagnosis and assessment, and treatment. These include: (1) an increased focus on competencies in training; (2) the implications of evidence-based practice as a new major focus of training; (3) changes in the accreditation of training programs; (4) a move to dimensional conceptions of diagnosis; (5) clinical outcomes assessment as an integral part of practice, as well as a more individual focus in clinical research; (6) the increasing recognition and dissemination of psychological treatments; (7) the end of single-diagnosis psychological treatment manuals; (8) the development of drugs that specifically enhance the mechanisms of action of psychological treatments; (9) an expanded role for technology in service delivery; and (10) a clearer delineation of the terms “psychological treatments,” referring to interventions directed at psychopathology and pathophysiology in the context of our health-care delivery system, and, “psychotherapy,” increasingly based on data from positive psychology, but directed at enhancing personal adjustment and growth.