There is a great deal of attention, in professional communities and the lay public, to a college mental health crisis. This article will review the dominant narrative of this situation, identifying and challenging the common elements of the narrative. The author will locate this college mental health crisis narrative in historical context,…

As educators are becoming more aware of the mental health needs of young adults, and the impact of trauma and poverty on student learning and development, there is an increased need for different pedagogical approaches that view the student holistically in the classroom. In addition, staff and faculty are experiencing burnout in record numbers. An…

College and university counseling centers have maintained core practices of advanced scheduling, thorough psychosocial assessment before treatment, and traditional 50-minute psychotherapy sessions since their inception in the mid-late 1900s. This approach has become challenged in the current university mental health landscape, which has seen a…

With the rise in demand for mental health services on college and university campuses, counseling centers have engaged in numerous creative methods to expand services to meet these increasing demands. One approach within campus counseling centers, with promise, is embedded therapists. Despite the increasing application of embedded therapists,…

Counseling centers are part of a national practice environment that arguably encourages expedience rather than thoroughness in working with psychological difficulties. In this landscape, diagnosis is a process where symptom identification is preferred over a more complex understanding of clients. The predominant diagnostic tool used by mental…

Directors of color at college counseling centers face many challenges. In this article, three directors of color will describe the issues they face on a daily basis working in predominantly white institutions to illustrate how racial identities intersect with leadership. Included among the dynamics explored are the external pressures of…

We examined whether the "friendliness" of college counseling center websites to students with lesbian, gay, bisexual, transgender, and queer, plus other identities (LGBTQ+) varied by state-level structural policies on hate crime, employment nondiscrimination, and religious exemption. Results from our analyses of variance showed that…

The issues surrounding mental health stigma in higher education are complex and multipronged; perfectly classifying the topic as a "wicked problem" Approximately 55% of students stated they have been diagnosed or treated by a professional for some form of mental illness while in college (American College Health Association, 2017a). The…

There has been no published research to date comparing the impact of different primary referral sources for a student seeking counseling services on student initial counseling perceptions. Using 82 undergraduates in counseling, this study partitioned these students into two referral groups, where 1 = self-referred (myself), N = 45 versus 2 =…

College students may be misdiagnosed as personality disordered when in fact their problems are better explained by their upbringing. Growing up with a personality disordered parent may cause them to initially present with what appear to be personality disordered traits due to issues such as not learning adequate coping skills. Accurate diagnosis…

Although international research regarding advising is burgeoning, most of the research on the role of and advantages related to academic advising has been limited to U.S. colleges and universities. This ethnographic case study conducted at a Liberian university examined the organizational culture of advising from student, faculty, and staff…

Loneliness is an issue that is ubiquitous across college and university campuses. Studies have shown that students who utilize campus counseling services report loneliness as one of the most common issues for which they seek counseling. Although loneliness has been studied in the social sciences, little attention has been paid to predictors of…

The current study examined expectations and preferences of psychotherapy approach in 225 college students. Psychodynamic-interpersonal (PI) techniques were generally favored over cognitive-behavioral (CB) techniques both in expectations of what is characteristic of a typical therapy session and perceived helpfulness. There was no difference in…

As someone who has been involved in college mental health in three different roles, the author would say those who work in this field inhabit a strange space. College mental health centers are generally seen as somewhat peripheral to the core mission of universities by upper administration. Counseling centers do not reside within academic…

The purpose of this study was to examine trends and barriers in implementation of dialectical behavior therapy (DBT) programs in college counseling centers (CCCs). Participants were 107 CCC employees who participated in an electronic survey. One third of respondents endorsed use or planned use of DBT at their centers. The most prevalent primary…