College student binge drinkers incur significant adverse consequences for themselves and others, yet often do not see their drinking as problematic. Counseling interventions should therefore be sensitive to relevant consequences, motivational level, and readiness to change. Article integrates harm-reduction principles, motivational interviewing, and stages of change to address problems of binge drinkers reluctant or ambivalent about changing their drinking habits. (Contains 43 references.) (Author)