This article discusses and illustrates with case examples the impact on the college experience for students who have impaired--medically or mentally ill, substance abusing, developmentally disabled--siblings. Although these students often show resilience and a well-developed sense of compassion, they may also struggle with developmental tasks of…

In the first few years after his wife gave birth to a son, the middle-aged author closely observed the effects on his existence and his craft. He is pleased to report that fatherhood is taxing but survivable, and finds that it exerts a modest but discernible effect on his perspective as a college counselor. He mentions that he compared notes with…

The effects of meditation, specifically Transcendental Meditation (TM), on college students' experience of stress, anxiety, depression, and perfectionistic thoughts was investigated using 43 undergraduate students. Self-report measures of the variables were completed prior to the start of the study. Student groups were trained in TM and practiced…

This study explores the utility of a dual-factor model of mental health in which the concepts of mental illness and mental wellness are integrated. Life satisfaction, emotional symptoms, personal adjustment, and clinical symptoms were assessed with a sample of 240 college students. Participants were organized into four groups based on levels of…

Creative-arts therapy groups offer university students powerful ways to address intrapersonal and interpersonal concerns. These groups combine the strengths of a traditional process group with the benefits of participation in the expressive arts. The creative process draws students in, invites insight and introspection, and facilitates outward…

Specific phobias are highly prevalent among college students and can be quite debilitating. However, students often do not present for treatment for phobias and, when they do, often do not receive effective treatment. This article will present a case study of the effective treatment of specific phobia using cognitive-behavioral therapy with an…

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,…

Behavioral and mental health issues challenge institutions of higher education with difficult decisions around response. Interests of the individual and safety of the community must be constantly considered and balanced. A primary way institutions of higher education are responding to these challenges is through the formation of campus assessment…

International students in higher education represent a diverse population with unique mental health needs. Foreign students commonly experience a host of adjustment issues, including acculturative stress, language difficulties, cultural misunderstandings, racial discrimination, and loss of social support. Despite their challenges, few…

Campus mental health needs are in the spotlight. Whether the nature and severity of problems presenting in college counseling centers are increasing or not, it is important to provide appropriate services for the campus as a whole. By surveying the general campus population, a better basis for determining the needs of students can be established…

Concept mapping was used to illuminate counselors' positive experiences of providing counseling/psychotherapy to students in higher education. Counseling professionals (N = 65) in 23 colleges and universities responded to the question "What are the positive aspects that motivate you to provide counseling/psychotherapy to students?" From these…

This article focuses on the complex nature of eating disorders, specifically highlighting their use as coping mechanisms for underlying emotional and psychological concerns. Case examples of college counseling center clients are discussed in order to illustrate common ways in which eating disorders are utilized by clients with varying…

Violent behavior on college campuses has been a long-standing problem that has received increased attention due to recent shootings. At present, the factors that predict college students' violent behavior are not well understood. To increase knowledge in this area, two studies were conducted that examined the prevalence and predictors of college…

College can provide a transition from interdependence to differentiation in the family. With recent trends and legal cases that document increasing complexity and severity of mental health problems in college, it is important to consider the family as a partner in the therapeutic process. This article delineates a rationale, guidelines, and…

Night eating syndrome criteria include skipping breakfast, night eating, and sleep difficulties. It is associated with mood disturbances, particularly depression, and may contribute to later obesity development. Most research on night eating syndrome has focused on obese persons seeking weight loss treatment, and little is known about night eating…