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This paper examines attachment theory and its place in current therapeutic work in relation to recent developmental science research. It suggests that we might be on the cusp of a new paradigm in which a range of modalities hitherto in little communication with each other, that have the potential to be integrated into new therapeutic discourses. The paper looks at links between attachment theory, developmental understandings, interpersonal neurobiology, and epigenetics. It argues that an understanding of the brain, nervous system, and the body are likely to be central to this. Attachment theory and its linked understandings are likely to remain central to such developments, but as a theory it too is likely to shift and change in the face of such new developments.