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Cultural changes that take place over time lead to shifts in our understanding of psychopathology, leading to revisions in our theories and techniques of psychotherapy and psychoanalysis. Shaped by the seismic changes in the culture that took place during their childhood years, millennials grew up with life experiences that were different from the previous generations. These unique experiences led to different problems in living for millennials. Who is the millennial patient and what does the millennial patient need from the analyst? These questions are examined. Clinical and training implications are explored and illustrated with case examples.