The poor self-image of many collegiate high achievers is due to the development of an obsessive-compulsive personality. Typical of this psychological maladjustment is the concept that external achievements are directly related to internal personal worth in a linear and absolute fashion. Characteristic symptoms include physical as well as emotional complaints. Treatments a university health clinic can provide for students suffering from this syndrome are most effective when centered around a brief treatment approach. Based on a series of dialogue sessions, the student and the therapist work together to design an individualized treatment plan. The prime mechanism is a thorough examination of the student's previous psychosocial history coupled with analysis of present feelings and anxieties. Stress is placed on putting the student "in touch" with his/her own needs and desires. Treatment terminates with the student's realization of his/her own behavior patterns, motivational stimulus, and renewed sense of self-understanding. (LH)