University counseling centers are faced with the challenge of effectively treating bipolar students while also utilizing brief treatment frameworks and managing high patient volumes. Potential destabilization, particularly within the elevated mood phase, poses significant behavioral management issues for university clinicians and administrators,…

The purpose of this study was to understand how the real relationship (RR) relates to important process and outcome variables from both the clients' and therapists' perspectives. Using a sample of 31 therapist/client dyads at a university counseling center, the authors examined the RR at the 3rd session of therapy and at termination. The results…

Given the extensive and increasing use of medications to augment psychotherapy in intervening with college students with more severe psychopathology, the absence of scholarship on this topic is surprising. This article briefly summarizes earlier published pieces on combining counseling with psychotropic treatment in college counseling center…