Since 1992, an overwhelming consensus among counseling center directors has asserted that, year after year, the severity or psychopathology of counseling center clients has been increasing. In contrast to this perceptual consensus, the search for confirming evidence using client self-report measures has been frustrating. These studies have generally failed to confirm changes in client severity or qualitative psychopathology. The present study analyzed Personality Assessment Inventory (PAI) data from 4,755 clients spanning a 15-year period from 1992-2007. Results indicated a stable proportion of clients warranting any Axis-I diagnosis (72%), no change in overall acuity, a significant decline in suicidality, and stable levels of severity within each of four groups of clients: those warranting a PAI-assigned diagnosis for (a) a mood disorder, (b) anxiety or phobic disorder, (c) dysthymic disorder, or (d) adjustment disorder. A number of processes are identified as likely contributors to the persisting but perhaps erroneous perceptual consensus about increasing pathology.