Objective: A series of four studies explored the heuristic value of a method of grouping students in counseling by the severity of symptoms across eight domains. Method: Participants were over 50,000 college students in counseling, assessed with the CCAPS-62 and -34 as part of routine clinical care. Latent Profile Analysis was used to group students by reported symptoms across the eight CCAPS subscales. Groups were evaluated for useful differences on demographics, psychosocial indicators, diagnosis, and change during psychotherapy. Results: Sixteen reliably stable groups emerged from analysis. These were significantly different in demographic makeup, psychosocial history and diagnoses. Emergent groups also had significant differences in the number of sessions in treatment, as well as the effect size of treatment. Conclusion: Grouping students in counseling by their symptoms appears to capture differences that could be implemented in an automated system of evaluation and feedback, and that might be useful to clinicians, administrators and researchers. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]