A content analysis of American Counseling Association convention sessions offered from 1977 to 2008 was conducted. The intent was to identify changes and trends in the counseling profession. Content of more than 15,000 sessions, including educational programs, keynote presentations, and training sessions, was assigned to 1 of 86 categories. A shift from a career and school focus to clinical and mental health, as well as an increasing emphasis on multicultural; lesbian, gay, bisexual, and transgender; and spirituality issues, was noted.